Provider Demographics
NPI:1063707388
Name:WHITE, JONI RENE (PT)
Entity type:Individual
Prefix:MRS
First Name:JONI
Middle Name:RENE
Last Name:WHITE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:809 N UNION ST
Mailing Address - Street 2:STE C
Mailing Address - City:WHITESBORO
Mailing Address - State:TX
Mailing Address - Zip Code:76273-1038
Mailing Address - Country:US
Mailing Address - Phone:903-564-4300
Mailing Address - Fax:903-564-1688
Practice Address - Street 1:809 N UNION ST
Practice Address - Street 2:STE C
Practice Address - City:WHITESBORO
Practice Address - State:TX
Practice Address - Zip Code:76273-1038
Practice Address - Country:US
Practice Address - Phone:903-564-4300
Practice Address - Fax:903-564-1688
Is Sole Proprietor?:No
Enumeration Date:2011-06-15
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1206379225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist