Individual
DAWN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
355 CROSSGATES BLVD, BRANDON, MS 39042-2602
(601) 316-7632
Mailing address
4876 WINDERMERE TER, JACKSON, MS 39206-4828
(601) 316-7632
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4991
MS
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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