Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

De Ara Annise White

Individual provider Physical Therapy Assistant · NPI 1124790423

De Ara Annise White is a Physical Therapy Assistant in San Diego, California. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

3707 Convoy St
San Diego, CA 92111-3754
Phone: (858) 573-9368
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X

Record details

NPI number1124790423
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 4, 2021
Last updated in NPPESJune 13, 2026
Certification dateJune 13, 2026

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