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Individual

MRS. BARBARA RIDLER WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA,PT

Contact information

Practice address
1450 FURNACE AVE, GLEN BURNIE, MD 21060-7002
(410) 222-6911
(410) 222-6916
Mailing address
3794 PLUM MEADOW DR, ELLICOTT CITY, MD 21042-5124
(410) 750-7949

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16426
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0714
MD
Enumeration date
03/14/2007
Last updated
07/09/2007
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