Individual
KENYATA MONIQUE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
4560 W ALEXIS RD, TOLEDO, OH 43623-1082
(419) 472-7115
Mailing address
5334 FREDELIA DR, TOLEDO, OH 43623-1528
(810) 874-5210
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA012576
OH
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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