Individual
KYLE PAUL WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
580 S SAN VICENTE BLVD, LOS ANGELES, CA 90048-4621
(323) 782-1500
Mailing address
1667 LAS VIRGENES CANYON RD SPC 8, CALABASAS, CA 91302-3577
(805) 448-0226
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA49287
CA
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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