| Provider / Organization | NPI | Date Certified |
|---|---|---|
| WILLARD CHANDLER WHITE | 1093285108 | 2023-01-21 |
Willard Chandler White [M] graduated in 2018 and primarily specializes in Physical Therapy.
Willard Chandler White is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1093285108. Registration indicates Willard Chandler White is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapist (Physical Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
| PECOS ID | 9032455829 |
| Entity Type | Individual |
| Provider Name | Willard Chandler White DPT |
| Practice Office Address | 838 POWDERSVILLE RD STE T EASLEY, SC US |
| Practice Office Telephone | 8646711650 |
| Practice Office Fax | 8644422053 |
| Mailing Address | 790 REMINGTON BLVD BOLINGBROOK, IL 604404909 US |
| Business Telephone | 8663708206 |
| Business Fax | 5174353670 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 1060 plaza dr ste 110 | Denver, CO 80129 | 3032747315 |
| Code | Practice | License No State |
|---|---|---|
| 225100000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Physical Therapist Speech/Occupational/Physical Therapy/Chiropractor Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| 193200000X MULT | Group Code |