Individual
CALEB HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
505 W WOLFE ST, SULLIVAN, IN 47882-9224
(812) 268-6361
Mailing address
3330 N 1425 W, LINTON, IN 47441-6712
(812) 798-3132
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004679A
IN
Other
Enumeration date
11/24/2022
Last updated
11/24/2022
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