# WHITE'S PHYSICAL THERAPY & BODYMECHANIX, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790713485
- **Authorized official:** MR. DOUGLAS E WHITE MSPT, L/ATC, CSCS (OWNER)
- **Authorized official phone:** (978) 568-5556

## Contact information

- **Practice address:** 1 BURLINGTON AVE, WILMINGTON, MA 01887-3926
- **Practice address phone:** (978) 658-5556
- **Practice address fax:** (978) 658-5269
- **Mailing address:** PO BOX 4053, ANDOVER, MA 01810-0811
- **Mailing address phone:** (978) 658-5556
- **Mailing address fax:** (978) 658-5269

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 2251S0007X | Sports Physical Therapist | — | NULL | Yes |
| 2251S0007X | Sports Physical Therapist | — | — | Yes |
| 2251X0800X | Orthopedic Physical Therapist | — | NULL | — |
| 2251X0800X | Orthopedic Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 06/29/2006
- **Last updated:** 06/18/2008