Individual
JENNIFER WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
563 WINBURN TIDE LN, LA PORTE, TX 77571-5341
(713) 705-2841
Mailing address
563 WINBURN TIDE LN, LA PORTE, TX 77571-5341
(713) 705-2841
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2077492
TX
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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