Individual
CALEDONIA CORNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
27 COOL ST, WATERVILLE, ME 04901-5221
(207) 873-0721
Mailing address
PO BOX 23, SOLON, ME 04979-0023
(207) 399-3254
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA4969
ME
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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