Individual
PETER PAUL WHITENACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
340 COUNTY ROAD 3151, DE BERRY, TX 75639-3224
(903) 766-2716
(903) 766-2745
Mailing address
340 COUNTY ROAD 3151, DE BERRY, TX 75639-3224
(903) 766-2716
(903) 766-2745
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2034379
TX
Other
Enumeration date
08/30/2007
Last updated
08/30/2007
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