Individual provider · Type 1 NPI

De Ara Annise White

Physical Therapy Assistant · San Diego, CA

NPI number 1124790423 Active · reactivated Jun 11, 2026

Practice location

3707 Convoy St
San Diego, CA 92111-3754

Call (858) 573-9368 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XNone listed

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1124790423

De Ara Annise White's National Provider Identifier is 1124790423, issued on Oct 4, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in San Diego, CA. The record was last updated on Jun 13, 2026.