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Individual
CALEB T MCENTIRE
Active
Individual
CALEB T MCENTIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
09908
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09908
LA BOARD OF PHYSICAL THERAPY EXAMINERS
LA
Enumeration date
11/14/2019
Last updated
11/14/2019
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