Individual
MRS. CAITLIN NEWBY WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
103 GOSSMAN DR, SOUTHERN PINES, NC 28387-2225
(910) 246-1158
Mailing address
103 GOSSMAN DR, SOUTHERN PINES, NC 28387
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A7159
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A7159
NC BOARD OF PHYSICAL THERAPY EXAMINERS
NC
Enumeration date
01/29/2020
Last updated
01/29/2020
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