Individual
MARIDEE C CAVALIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4100 JACKSON AVE, AUSTIN, TX 78731-6056
(512) 454-4711
Mailing address
6308 TURIN LN, ROUND ROCK, TX 78665-2372
(512) 773-7094
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
1124469
TX
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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