Individual
MRS. DONNA M WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
14 BRIDGEWATERS DR STE A, OCEANPORT, NJ 07757-1184
(732) 542-6606
Mailing address
358 CONOVER PL, RED BANK, NJ 07701-6119
(732) 747-6673
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00680000
NJ
Other
Enumeration date
12/27/2011
Last updated
12/27/2011
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