Individual
TRAINIA DENICE CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6873 MERCEDES AVE, PORTAGE, IN 46368-2542
(219) 763-0511
Mailing address
1700 HARBOR AVE APT 3W, CALUMET CITY, IL 60409-1659
(708) 890-4147
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057002945
IL
Other
Enumeration date
08/17/2009
Last updated
08/17/2009
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