Deidra White

NPI #1407404205 in Plainview, New York

Provider Information

NPI Number: 1407404205
Entity Type: Individual
Name: Deidra White
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Aug 27, 2019
Last Updated: Aug 27, 2019

Practice Location

Address: 74 VIRGINIA AVE
City: Plainview
State: New York
ZIP Code: 11803-3520
Phone: (516) 816-5745

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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