Individual
MRS. TINA C CAPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
150 GILBREATH DR, ONEONTA, AL 35121-2827
(205) 274-8730
Mailing address
PO BOX 765, ONEONTA, AL 35121-0026
(205) 274-8730
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH 2161
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510-95485
MCEBCBS
AL
01
—
515-06865
SCRBCBS
AL
01
—
515-06867
MCB BCBS
AL
Enumeration date
05/04/2007
Last updated
07/08/2007
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