Individual
COREY MICHAEL WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
8080 BLUEBONNET BLVD, SUITE 110, BATON ROUGE, LA 70810-7827
(225) 408-7990
Mailing address
14339 MEADOW RIDGE DR, BATON ROUGE, LA 70817-5254
(225) 753-8581
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06495
LA
Other
Enumeration date
09/24/2006
Last updated
07/08/2007
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