White, Mary
White, Mary is an individual health care provider with primary practice located at 3045 Whitman Dr. , Evergreen CO 80439-2364. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. White, Mary can be contacted via phone (303) 325-5329.Contact Information
Primary practice address
3045 Whitman Dr.
Evergreen CO 80439-2364
Phone: (303) 325-5329
Fax: (303) 670-3323
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 7572 | Colorado |
Profile Details
| NPI number | 1528066198 |
|---|---|
| LBN Legal business name | White, Mary |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Jul 21st, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528066198 | NPPES |
| Colorado | Other | 7572 | PHYSICAL THERAPY LICENSE |
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