Individual
MR. JESSE STEPHEN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2275 RUIN CREEK RD, HENDERSON, NC 27537-8732
(252) 492-0066
Mailing address
346 BLACKROCK RD, MERRY HILL, NC 27957-9691
(252) 325-4535
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5728
NC
Other
Enumeration date
05/26/2018
Last updated
05/26/2018
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