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Individual

CALEB A WILLENBRING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPTA

Contact information

Practice address
13609 CALIFORNIA ST, SUITE 200, OMAHA, NE 68154-5260
(434) 736-8406
(877) 552-0660
Mailing address
2434 AVALON AVE NW, ROANOKE, VA 24012-3214
(540) 793-5925

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602206
VA

Other

Enumeration date
06/26/2013
Last updated
06/26/2013
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