Individual
CAROLINE WEATHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5722 CLARION ST, CUMMING, GA 30040-0306
(470) 252-7889
Mailing address
406 MYERS ST, SHELBINA, MO 63468-1423
(660) 415-7366
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2025021566
MO
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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