Individual
MR. STANLEY JEROME WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED KT
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516
(203) 932-5711
Mailing address
94 PARKSIDE DRIVE, NEW HAVEN, CT 06515
(203) 389-6494
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
—
—
Other
Enumeration date
09/28/2006
Last updated
09/07/2023
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