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Individual

MISTY WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
2240 SW 70TH AVE STE D, DAVIE, FL 33317-7112
(855) 365-6927
Mailing address
2240 SW 70TH AVE STE D, DAVIE, FL 33317-7112

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA30096
FL

Other

Enumeration date
01/18/2021
Last updated
01/18/2021
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