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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DEIDRE DEACON WHITE, PT, DPT

Active Sole Proprietor

DEIDRE DEACON WHITE, PT, DPT is a Physical Therapy Assistant healthcare provider located in IMPERIAL BEACH, California. NPI 1184173486 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · IMPERIAL BEACH, CA

Registration Details

NPI Number
1184173486
Provider Type
Individual
Gender
Female
NPI Issued
Sep 27, 2016 (9.8427583145984 yrs)
Last Updated
Mar 24, 2020
Licenses
PT293126 (CA)
2305210672 (VA)
Sole Proprietor
Yes

Practice Information

Address
1285 FLORIDA ST
IMPERIAL BEACH, CA, 919323505
Browse CA providers · Browse ZIP 91932
Phone
5402943625
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in IMPERIAL BEACH, CA

Name Credential NPI
MRS. ANGELA ROSE ANDREWS PT, DPT 1588119085
MATTHEW ALAN ROGOWSKI RPT 1144742727
TAMARA LILA TRILY DPT 1124534151
ANDREW NOVENCIDO PT, DPT 1447723937
PATRICK SWANK DPT 1790331627
GIOVANNI XAVIER VILLANUEVA DPT 1063046878
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.