Individual
PHILIP WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4344 W BELL RD, STE 100, GLENDALE, AZ 85308-3589
(602) 548-9882
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4366
LICENSE #
AZ
Enumeration date
08/30/2006
Last updated
03/18/2024
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