Diane White, PTA

NPI #1316915804 in Moline, Illinois

Provider Information

NPI Number: 1316915804
Entity Type: Individual
Name: Diane White, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Mar 9, 2006
Last Updated: Aug 28, 2008

Practice Location

Address: 555 VALLEY VIEW DR
City: Moline
State: Illinois
ZIP Code: 61265-6138
Phone: (309) 764-9675

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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