Individual
ANNELLE RAE CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3400 COVENTRY LN, FORT SMITH, AR 72908-9523
(479) 648-0928
Mailing address
3400 COVENTRY LN, FORT SMITH, AR 72908-9523
(479) 461-2320
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 960
AR
Other
Enumeration date
11/16/2010
Last updated
11/03/2011
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