Individual
MS. DIANE KAY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MHS
Contact information
Practice address
6501 N SHERIDAN RD, PEORIA, IL 61614-2932
(309) 692-8110
Mailing address
8100 RIDGEWAY DR, HOPEDALE, IL 61747-9382
(309) 449-6697
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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