Individual
MR. STEPHEN ALLEN WHITE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2201 CASON ST, LAFAYETTE, IN 47904-2697
(765) 447-4102
Mailing address
710 MUSTANG WAY, LAFAYETTE, IN 47905-3419
(724) 988-9197
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06005654A
IN
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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