Kirby White, PTA

NPI #1912118258 in White Hall, Maryland

Provider Information

NPI Number: 1912118258
Entity Type: Individual
Name: Kirby White, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: May 25, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2601 GARRETT RD
City: White Hall
State: Maryland
ZIP Code: 21161-9743
Phone: (410) 245-5030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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