Organization
JESSE W WHITE
Active
Organization
JESSE W WHITE
Active
Other names
WHITE PHYSICAL THERAPY SERVICES, LTD.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESSE WILLIAM WHITE P.T. (OWNER/P.T.)
(330) 821-2249
Entity
Organization
Contact information
Practice address
75 GLAMORGAN ST, STE 110, ALLIANCE, OH 44601-2938
(330) 821-2249
(330) 821-9318
Mailing address
75 GLAMORGAN ST, STE 110, ALLIANCE, OH 44601-2938
(330) 821-2249
(330) 821-9318
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-002099
OH
225100000X
Physical Therapist
PT-008153
OH
225100000X
Physical Therapist
PT-009178
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2682968
—
OH
01
—
CL7471
R/R MEDICARE GROUP PROV #
OH
Enumeration date
07/27/2006
Last updated
10/11/2012
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