| NPI | 1902511843 |
|---|---|
| Former Name | CAITLIN DOUGLAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY CP054313T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT015757) |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2026-04-06 |