Individual
CAITLIN HENNIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-019253
IL
225100000X
Physical Therapist
PTL.0011952
CO
Other
Enumeration date
02/04/2014
Last updated
07/11/2022
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