Provider Demographics
NPI:1689224099
Name:MCWHITE, ANNABELLE
Entity Type:Individual
Prefix:
First Name:ANNABELLE
Middle Name:
Last Name:MCWHITE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:699 BETHANY LOOP UNIT 3
Mailing Address - Street 2:
Mailing Address - City:BETHANY BEACH
Mailing Address - State:DE
Mailing Address - Zip Code:19930-9035
Mailing Address - Country:US
Mailing Address - Phone:302-616-3651
Mailing Address - Fax:302-616-3652
Practice Address - Street 1:699 BETHANY LOOP UNIT 3
Practice Address - Street 2:
Practice Address - City:BETHANY BEACH
Practice Address - State:DE
Practice Address - Zip Code:19930-9035
Practice Address - Country:US
Practice Address - Phone:302-616-3651
Practice Address - Fax:302-616-3652
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-17
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
J1-913225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist