Doctor Name: | MONICA LEE WHITE |
NPI Number: | 1811270721 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 004277 |
Business Practice Address: | 1731 W Ridgeway Ave Waterloo, IA - 507014595 |
Business Phone Number: | 3198335900 |
Business Fax Number: | 3198335901 |
Mailing Address: | 4150 Kimball Ave, Po Box 2758 WATERLOO |
State: | IA |
Postal Code: | 507019086 |
Phone Number: | 3192355390 |
Fax Number: | 3192331630 |
NPI Enumeration Date: | 09/27/2011 |
NPI Last Update Date: | 04/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 004277 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |