Organization
WHITE'S PHYSICAL THERAPY & BODYMECHANIX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS E WHITE MSPT, L/ATC, CSCS (OWNER)
(978) 568-5556
Entity
Organization
Contact information
Practice address
1 BURLINGTON AVE, WILMINGTON, MA 01887-3926
(978) 658-5556
(978) 658-5269
Mailing address
PO BOX 4053, ANDOVER, MA 01810-0811
(978) 658-5556
(978) 658-5269
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
Primary
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0308943
—
MA
01
—
619996
TUFTS
MA
01
—
Y61369
BC/BS
MA
Enumeration date
06/29/2006
Last updated
06/18/2008
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