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SHARON WHITE

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1528235637

Individual Registrant:
 SHARON  WHITE 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
ARIZONA HWY 264  GANADO, AZ 86505 US
Tel: 928-755-4640  Fax: --

Contact information for business:
PO BOX 457 ARIZONA HWY 264 GANADO, AZ 86505 US
Tel: 928-755-4640  Fax: --

Registration Information:
NPI: 1528235637
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
AZ3601

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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