Individual
SUSAN A WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
524 W MAIN ST, DECATURVILLE, TN 38329-8101
(731) 852-3591
Mailing address
475 JACK LITTLE RD, SARDIS, TN 38371-4035
(731) 858-2192
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3106
TN
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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