Individual
MRS. ANDREA LEE CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
1355 W MAIN ST, MONROE, WA 98272-2022
(360) 794-4011
(360) 794-9477
Mailing address
1355 W MAIN ST, MONROE, WA 98272-2022
(360) 794-4011
(360) 794-9477
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
OT00002041
WA
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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