| NPI | 1285126441 |
|---|---|
| Former Name | MARY ANNA CALDWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT013369) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 13325) |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2021-05-04 |