Individual
CHRISTINA AUSTIN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
307 S COURT ST, LAPEER, MI 48446-2514
(810) 538-0600
(810) 538-0602
Mailing address
4466 W BRISTOL RD, FLINT, MI 48507-3170
(810) 733-1200
(810) 733-3130
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501016680
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B52045
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
05
—
1801210463
—
MI
Enumeration date
02/18/2014
Last updated
10/30/2023
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