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Maurice White

Physical Therapist in Los Gatos, CA. Individual provider (NPI-1).

NPI number1003553058
StatusActive
Last updated in NPPESMay 19, 2022

Details

NPI
1003553058
Entity type
Individual (NPI-1)
Name
Maurice White
Sex
Male
Sole proprietor
Yes
Enumeration date
May 19, 2022
Certification date
May 19, 2022
Last updated
May 19, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist9499CAYes

Practice location

16185 Los Gatos Blvd Ste 205
Los Gatos, CA 95032-4569

Phone 866-839-6979

Mailing address

16185 Los Gatos Blvd Ste 205
Los Gatos, CA 95032-4569

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