Individual
MRS. JERYL ROBIN CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1601 PURDUE DR, FAYETTEVILLE, NC 28304-3674
(910) 672-0061
Mailing address
2408 THORNGROVE CT, FAYETTEVILLE, NC 28303-4099
(910) 920-3858
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
655
NC
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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