Individual
MR. CALDWELL S. MCMULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
1301 N DIVISION AVE, SANDPOINT, ID 83864-8268
(208) 265-0610
(208) 265-9192
Mailing address
1301 N DIVISION AVE, SANDPOINT, ID 83864-8268
(208) 265-0610
(208) 265-9192
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2002
ID
Other
Enumeration date
08/27/2008
Last updated
07/06/2012
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