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Individual

BRITTNI LYNN CACCIABAUDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1585 3RD ST, FORT POLK, LA 71459-5102
(337) 531-3203
Mailing address
1585 3RD ST, FORT POLK, LA 71459-5102
(337) 531-3203

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
KY-007259
PT LICENSE
KY
Enumeration date
11/01/2017
Last updated
11/01/2021
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