Individual
CAITLIN DEEMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, ATC
Contact information
Practice address
4100 S FERDON BLVD STE A1, CRESTVIEW, FL 32536-5287
(850) 682-8388
Mailing address
4554 SIMPSON ST, MILTON, FL 32583-4118
(850) 582-6077
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012543
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019474900
—
FL
Enumeration date
08/08/2016
Last updated
04/01/2019
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