Individual
CALEB WOODERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT, ATC
Contact information
Practice address
3545 S NATIONAL AVE, SPRINGFIELD, MO 65807-7310
(417) 536-6294
Mailing address
3545 S NATIONAL AVE, SPRINGFIELD, MO 65807-7310
(417) 536-6294
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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