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Individual
MRS. JENNIFER CELESTE WHITE
Active
Individual
MRS. JENNIFER CELESTE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
126421
NY
225700000X
Massage Therapist
0170151
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0160254
BC BS INSURANCE OF CNY
—
01
—
714708
MVP INSURANCE
NY
01
—
P010012642
BC BS INSURANCE OF CNY
NY
Enumeration date
03/22/2007
Last updated
01/26/2010
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