Individual
JODI WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 KINGSLEY CT, FRANKENMUTH, MI 48734-1270
(989) 793-2856
Mailing address
1371 N KNIGHT RD, ESSEXVILLE, MI 48732-9749
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501008998
MI
Other
Enumeration date
09/27/2006
Last updated
10/08/2007
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