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Individual

BROOKE WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
1129 PARKWAY AVE, ELKHART, IN 46516-1395
(574) 514-9296
Mailing address
228 E 9TH ST, MISHAWAKA, IN 46544-2179
(574) 514-9296

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004379A
IN

Other

Enumeration date
04/18/2024
Last updated
04/18/2024
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