Individual
MRS. ELISE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
13909 FLORIDA BLVD, LIVINGSTON, LA 70754-6340
(225) 686-7044
Mailing address
PO BOX 512, LIVINGSTON, LA 70754-0512
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
LA
Other
Enumeration date
06/18/2020
Last updated
06/18/2020
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