Individual
MS. JO ELLEN CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., P.T.,A.T.,C.
Contact information
Practice address
2020 W WHISPERING WIND DR, #119, PHOENIX, AZ 85085-2848
(623) 889-3480
(623) 889-3481
Mailing address
20031 N 39TH AVE, GLENDALE, AZ 85308-2299
(602) 796-5425
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3543
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386864262
BCBS
AZ
01
—
208737315
TRICARE
—
01
—
2Z7238
HEALTHNET
—
Enumeration date
03/29/2007
Last updated
04/22/2008
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