Individual
MANDY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
523 W MAIN ST, DURANT, OK 74701-5009
(580) 924-7700
Mailing address
523 W MAIN ST, DURANT, OK 74701-5009
(580) 924-7700
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2585
OK
Other
Enumeration date
02/25/2016
Last updated
02/25/2016
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