Individual
JUDY ATKINS WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8911 N PORT WASHINGTON RD, BAYSIDE, WI 53217
(414) 351-5794
(414) 351-2770
Mailing address
7250 N BEACH DR, FOX POINT, WI 53217
(414) 540-6779
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10330024
WI
225100000X
Physical Therapist
573
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40457300
—
WI
Enumeration date
08/10/2006
Last updated
07/08/2007
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