Provider Demographics
NPI:1033104914
Name:WHITE, EMMA W (PT)
Entity Type:Individual
Prefix:MRS
First Name:EMMA
Middle Name:W
Last Name:WHITE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1262 DOVERSHIRE CT
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-7306
Mailing Address - Country:US
Mailing Address - Phone:336-882-6035
Mailing Address - Fax:
Practice Address - Street 1:319A JULIAN AVE
Practice Address - Street 2:HEALTHCARE CONSULTANTS INC
Practice Address - City:THOMASVILLE
Practice Address - State:NC
Practice Address - Zip Code:27360-4832
Practice Address - Country:US
Practice Address - Phone:336-472-6566
Practice Address - Fax:336-472-5281
Is Sole Proprietor?:No
Enumeration Date:2005-09-15
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3573225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC561722523OtherWORKERS COMP
NC4272130OtherQUALCHOICE
NC07967OtherBCBS
NC56162OtherMEDCOST
NC650012600OtherRAILROAD MEDICARE
NC2501666Medicare ID - Type Unspecified