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DIANE MICHELE WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
100 RIDGEVIEW DR, SUITE 6, SMITHFIELD, PA 15478-1650
(724) 564-5600
(724) 564-5602
Mailing address
943 MAPLE DR, MORGANTOWN, WV 26505-2812
(304) 599-2515
(304) 285-3738

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE1002641
PA

Other

Enumeration date
10/28/2011
Last updated
10/28/2011
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