Individual
CLINT A CABALLERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
12110 S HARRELLS FERRY RD STE 200, BATON ROUGE, LA 70816-2426
(225) 372-5008
(225) 927-4183
Mailing address
12110 S HARRELLS FERRY RD STE 200, BATON ROUGE, LA 70816-2426
(225) 372-5008
(225) 927-4183
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
08421
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08421
LOUISIANA STATE LICENSE
LA
Enumeration date
02/01/2017
Last updated
08/13/2024
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