Individual
MRS. JENNIFER ANN CAUDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
514 OLD MOUNT HOLLY RD, STANLEY, NC 28164-2191
(330) 206-4706
Mailing address
7219 STABLEFORD LN, STANLEY, NC 28164-7832
(330) 206-4706
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10051
NC
Other
Enumeration date
03/13/2007
Last updated
08/20/2014
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