Individual
MRS. MARGARET LOUISE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
631 BROOKWAY BLVD, BROOKHAVEN, MS 39601-2637
(601) 754-3523
Mailing address
631 BROOKWAY BLVD, BROOKHAVEN, MS 39601-2637
(601) 754-3523
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4688
MS
Other
Enumeration date
05/16/2017
Last updated
07/21/2022
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