Individual
MRS. SANDY ELIZABETH WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1001 HOLLAND AVE, PHILADELPHIA, MS 39350-2161
(601) 663-1296
(601) 663-1297
Mailing address
8592 PINE SPRINGS RD, MERIDIAN, MS 39305-9717
(601) 737-2301
(601) 663-1297
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3295
MS
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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