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Individual

CAITLYNN PERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPY

Contact information

Practice address
245 W MAIN ST, AZLE, TX 76020-2927
(817) 270-2975
(817) 270-3596
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(334) 231-5364
(334) 513-7138

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1373729
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
48855511
DRIVER LICENSE
TX
Enumeration date
02/13/2023
Last updated
02/13/2023
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