Individual
CAROL WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
24 OLD ETNA RD, LEBANON, NH 03766-1937
(603) 442-4205
(603) 442-4250
Mailing address
24 OLD ETNA RD, LEBANON, NH 03766-1937
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
041-0000529
VT
225200000X
Physical Therapy Assistant
Primary
0864
NH
Other
Enumeration date
02/27/2009
Last updated
02/27/2009
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