Individual
CAITLIN BEDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
162 W 72ND ST, SUITE 5, NEW YORK, NY 10023-3300
(212) 721-0208
Mailing address
162 W 72ND ST, SUITE 5, NEW YORK, NY 10023-3300
(212) 721-0208
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
038208-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208311672
—
NY
Enumeration date
09/29/2014
Last updated
09/29/2014
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