Individual
CARL ALVIN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1312 HEATHER HILL RD, BALTIMORE, MD 21239-1414
(410) 337-2747
Mailing address
1312 HEATHER HILL RD, BALTIMORE, MD 21239-1414
(410) 337-2747
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1239
MD
225400000X
Rehabilitation Practitioner
A1239
MD
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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