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Individual

MRS. ANNA DENISE WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
1170 W MANSFIELD ST, BUCYRUS, OH 44820-8509
(419) 562-9907
Mailing address
1170 W MANSFIELD ST, BUCYRUS, OH 44820-8509

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
07730
OH

Other

Enumeration date
08/20/2012
Last updated
08/20/2012
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