Individual
KENNETH WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25900 GREENFIELD RD, OAK PARK, MI 48237-1292
(248) 968-3900
Mailing address
261 MACK AVE, DETROIT, MI 48201-2417
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
5501017100
MI
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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