Individual
TALICIA JANE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
207 MERCHANTS WALK, SUMMERSVILLE, WV 26651-1901
(304) 872-7498
(304) 872-8144
Mailing address
207 MERCHANTS WALK, SUMMERSVILLE, WV 26651-1901
(304) 872-7498
(304) 872-8144
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA001447
WV
Other
Enumeration date
12/29/2008
Last updated
12/29/2008
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