| Doctor Name: | MRS. CARRIE ANN WALDREN |
| NPI Number: | 1093742363 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MPT |
| License Number: | PT21012 |
| Business Practice Address: | 1710 Se 16th Ave Ocala, FL - 344714656 |
| Business Phone Number: | 3526201900 |
| Business Fax Number: | 3526201901 |
| Mailing Address: | 4500 W Newberry Rd, GAINESVILLE |
| State: | FL |
| Postal Code: | 326072245 |
| Phone Number: | 3523366000 |
| Fax Number: | 3523320799 |
| NPI Enumeration Date: | 06/26/2006 |
| NPI Last Update Date: | 02/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT21012 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |