Individual
CAITLIN MARIA WANDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 W PROVIDENCE AVE, ORANGE, CA 92868-3808
(855) 901-7742
Mailing address
1301 W PROVIDENCE AVE, ORANGE, CA 92868-3808
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTLA
CA
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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