Individual
ANGELA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
550 N ANDOVER RD, ANDOVER, KS 67002-9712
(316) 202-0195
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(316) 223-4951
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-03861
KS
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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