Individual
COLIN RICHARD WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
627 8TH ST, CLERMONT, FL 34711-2159
(352) 243-4422
Mailing address
2927 MAJESTIC ISLE DR, CLERMONT, FL 34711-5272
(321) 438-4050
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
30891
FL
Other
Enumeration date
03/30/2021
Last updated
05/12/2021
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