Individual
MICAH CAUDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1223 WILLOW CREED RD, PRESCOTT, AZ 86301-1427
(928) 777-9950
(928) 777-9975
Mailing address
1223 WILLOW CREEK RD, PRESCOTT, AZ 86301-1427
(928) 777-9950
(928) 777-9975
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5674
AZ
225XH1200X
Hand Occupational Therapist
14-0450
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083794
—
AZ
Enumeration date
02/12/2014
Last updated
08/09/2023
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