Individual
KIRBY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2601 GARRETT RD, WHITE HALL, MD 21161-9743
(410) 245-5030
Mailing address
907 N KENWOOD AVE, BALTIMORE, MD 21205-1307
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3121
MD
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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