Individual
LARRY L WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
365 WHITTON ST, SIERRA VISTA, AZ 85635-1450
(520) 805-5915
(520) 364-8913
Mailing address
365 WHITTON STREET, SIERRA VISTA, AZ 85635-6003
(520) 805-5915
(520) 364-8913
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3578
AZ
Other
Enumeration date
12/20/2010
Last updated
12/20/2010
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