Individual
JENNA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2700 E 12TH ST, CHEYENNE, WY 82001-5604
(520) 490-5705
Mailing address
4302 E WHITTON AVE, PHOENIX, AZ 85018-5944
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
AZ
Other
Enumeration date
08/26/2020
Last updated
08/03/2021
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