Caleb Poe
Physical Therapist in Dallas, TX. Individual provider (NPI-1).
NPI number1124597232
StatusActive
Last updated in NPPESAug 29, 2022
Details
- NPI
- 1124597232
- Entity type
- Individual (NPI-1)
- Name
- Caleb Poe
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 19, 2018
- Certification date
- Aug 29, 2022
- Last updated
- Aug 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 10453R | CA | Yes |
| 225100000X | Physical Therapist | – | – |
Practice location
1775 Wittington PlaceSte. #175
Dallas, TX 75234
Phone 337-263-4568
Mailing address
6464 Corbina RdLake Charles, LA 70607-7674
Phone 337-263-4568
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