Individual
CONNIE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1750 275TH AVE, NEW HOLLAND, IL 62671-6063
(217) 871-2486
Mailing address
1750 275TH AVE, NEW HOLLAND, IL 62671-6063
(217) 871-2486
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070007056
IL
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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