Individual ProviderDavid WhitePhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address900 Northrop Rd, Ste, D, Wallingford, CT 06492-1997(203) 949-1534PECOS EnrollmentBased on the most recent information from CMS, provider David White does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1134672652Provider TypeIndividualFull NameWhite, DavidGenderMaleSole ProprietorYesEnumeration Date8/2/2016Last Updated8/2/2016Contact InformationPractice LocationPractice Address900 Northrop Rd, Ste, D, Wallingford, CT 06492-1997Phone(203) 949-1534FaxUnlisted FaxMailing LocationMailing Address900 Northrop Rd, Ste, D, Wallingford, CT 06492-1997Phone(203) 949-1534FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense11025Connecticut