Individual
STEPHEN C. WHITE
Active
Individual
STEPHEN C. WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, OCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4366
NM
225100000X
Physical Therapist
7649
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102255331
OWCP FACILITY ID
—
Enumeration date
08/15/2006
Last updated
11/24/2020
Update your record
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