Individual
MRS. BEVERLY CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
172 W WARREN AVE, LONGWOOD, FL 32750-4133
(386) 334-7246
Mailing address
164 SANDALWOOD WAY, LONGWOOD, FL 32750-2918
(386) 334-7246
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA10102
FL
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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