White, Diane

White, Diane is an individual health care provider with primary practice located at 555 Valley View Dr , Moline IL 61265-6138. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. White, Diane can be contacted via phone (309) 764-9675.

Contact Information

Primary practice address
555 Valley View Dr Moline IL 61265-6138
Phone: (309) 764-9675
Fax: (309) 764-3106
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 160-001931 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 00321 Iowa

Profile Details

NPI number 1316915804
LBN Legal business name White, Diane
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Aug 28th, 2008 - about 17 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.

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