Individual
MS. CORAL ANN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1755 N BARKER RD, BROOKFIELD, WI 53045-1801
(262) 821-3939
Mailing address
1755 N BARKER RD, BROOKFIELD, WI 53045-1801
(262) 821-3939
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11021-024
WI
Other
Enumeration date
12/10/2008
Last updated
12/10/2008
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