Individual
MR. GARY R CADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
3141 OLD COLUMBIANA RD, HOOVER, AL 35226-3703
(205) 822-1580
Mailing address
245 CAHABA VALLEY ROAD, SUITE 200, PELHAM, AL 35124-2217
(205) 942-6820
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH2675
AL
Other
Enumeration date
07/17/2009
Last updated
07/17/2009
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