Most Relevant Information
Provider Data
| NPI Number: | 1003553058 |
| Provider Name: | MAURICE WHITE |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 9499 |
Most Important Dates
| Enumeration Date: | 05/19/2022 |
| Last Updated: | 05/19/2022 |
Provider Practice Location
16185 LOS GATOS BLVD STE 205
LOS GATOS
CA
950324569
Practice Location Phone/Fax
| Phone: | 8668396979 |
| Fax: |
Provider Mailing Location
16185 LOS GATOS BLVD STE 205
LOS GATOS
CA
950324569
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |