Individual
KEESHA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
106 VININGS DR, MCDONOUGH, GA 30253-5978
(770) 288-2441
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009747
GA
Other
Enumeration date
09/11/2009
Last updated
05/20/2024
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