Individual
PATRICK WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3811 COMMONS AVE NE, ALBUQUERQUE, NM 87109-5832
(505) 345-9599
Mailing address
3206 JUDY PL NE, ALBUQUERQUE, NM 87111-5023
(505) 241-9970
(505) 241-9970
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-1115
NM
Other
Enumeration date
12/13/2017
Last updated
12/13/2017
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