Individual
TRACI LYNN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1158 E HORTTER ST, PHILA, PA 19150-3105
(215) 910-3662
(215) 247-6006
Mailing address
1158 E HORTTER ST, PHILA, PA 19150-3105
(215) 910-3662
(215) 247-6006
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE1000546
PA
Other
Enumeration date
06/14/2007
Last updated
08/26/2016
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