Individual
BENISHA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
21768 KATY FWY, KATY, TX 77449-7779
(281) 639-1658
Mailing address
6506 PITTSFORD CT, SUGAR LAND, TX 77479-4427
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2175167
TX
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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