Individual
JACLYN M CADDY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
9 MANHATTAN SQUARE, STE B, HAMPTON, VA 23666
(757) 825-3400
(757) 825-0392
Mailing address
771 PILOT HOUSE DR, NEWPORT NEWS, VA 23606
(757) 873-2302
(757) 873-2306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305204255
VA
225100000X
Physical Therapist
DAPT000324
PA
225100000X
Physical Therapist
PT015366
PA
Other
Enumeration date
03/27/2006
Last updated
07/08/2007
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