Individual
MRS. ELIZABETH ANNE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
625 STEVENS ST, MEDFORD, OR 97504-6719
(541) 864-1930
Mailing address
4934 COLEMAN CREEK RD, MEDFORD, OR 97501-9659
(541) 535-4121
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1032
OR
Other
Enumeration date
08/21/2007
Last updated
03/04/2015
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