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Individual

STEPHANIE CALDWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1007 ENSIGN, APT. D, CAMERON, MO 64429
(816) 617-8230
Mailing address
1007 ENSIGN TRCE, APT. D, CAMERON, MO 64429-1131

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2008034613
MO

Other

Enumeration date
01/18/2012
Last updated
01/18/2012
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