Individual
MS. DIANE C. CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
75 NEWPORT RD, 3, NEW LONDON, NH 03257-5467
(603) 526-2781
(603) 526-2618
Mailing address
PO BOX 732, NEW LONDON, NH 03257-0732
(603) 256-2781
(603) 526-2618
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
199
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0806506Y0NH01
ANTHEM
NH
01
—
199
LICENSE
NH
Enumeration date
09/02/2006
Last updated
07/08/2007
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