Individual
COLLEEN FRANCES WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
381 PINE RUN RD, LEWIS RUN, PA 16738-1901
(814) 362-1206
Mailing address
381 PINE RUN RD, LEWIS RUN, PA 16738-1901
(814) 362-1206
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OC001622L
PA
Other
Enumeration date
04/16/2010
Last updated
04/16/2010
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