Individual
PRECIOUS R. WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
703 FALLS ST., BLACKSTONE, VA 23824
(434) 607-9670
Mailing address
703 FALLS ST, BLACKSTONE, VA 23824-2839
(434) 607-9670
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602283
VA
Other
Enumeration date
06/18/2010
Last updated
06/18/2010
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