Provider Demographics
NPI:1336893171
Name:ANNABELLE MCWHITE LLC
Entity Type:Organization
Organization Name:ANNABELLE MCWHITE LLC
Other - Org Name:FYZICAL THERAPY AND BALANCE CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRUSICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-919-6632
Mailing Address - Street 1:699 BETHANY LOOP
Mailing Address - Street 2:UNIT 3
Mailing Address - City:BETHANY BEACH
Mailing Address - State:DE
Mailing Address - Zip Code:19930-9181
Mailing Address - Country:US
Mailing Address - Phone:484-919-6632
Mailing Address - Fax:
Practice Address - Street 1:699 BETHANY LOOP
Practice Address - Street 2:UNIT 3
Practice Address - City:BETHANY BEACH
Practice Address - State:DE
Practice Address - Zip Code:19930
Practice Address - Country:US
Practice Address - Phone:302-616-3651
Practice Address - Fax:302-616-3652
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-10
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty