Individual
KYLE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 GOLD STAR BLVD, WORCESTER, MA 01606-2825
(508) 459-5000
Mailing address
120 GOLD STAR BLVD, WORCESTER, MA 01606-2825
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
27099
MA
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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