Individual
MR. WILLIAM ROBERT WHITE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2345 MAIN ST, GLASTONBURY, CT 06033-2211
(860) 633-5572
(860) 652-3599
Mailing address
220 N HAZELTON ST, FLUSHING, MI 48433-1617
(810) 659-0874
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/24/2006
Last updated
07/08/2007
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