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Individual

KRISTA WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
13 NORTHTOWN DRIVE SUITE 110, TRINITY REHABILITATION, INC., JACKSON, MS 39211
(601) 206-9195
(601) 957-8391
Mailing address
PO BOX 315, TRINITY REHABILITATION, INC., RIDGELAND, MS 39158-0315
(601) 206-9195
(601) 957-8391

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06376R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09014160
MS
Enumeration date
10/24/2014
Last updated
10/24/2014
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