Individual
JENNIFER WELLS MCCAULEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
280 COMMERCE ST STE 115, SOUTHLAKE, TX 76092-7544
(817) 912-1420
(817) 668-7640
Mailing address
280 COMMERCE ST STE 115, SOUTHLAKE, TX 76092-7544
(817) 912-1420
(817) 668-7640
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT870977
DC
2251X0800X
Orthopedic Physical Therapist
Primary
1295719
TX
2251X0800X
Orthopedic Physical Therapist
37507
CA
Other
Enumeration date
02/12/2009
Last updated
06/02/2020
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