Doctor Name: | DR. JACOB M CALDWELL |
NPI Number: | 1750561775 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RPT |
License Number: | 33293 |
Business Practice Address: | 22691 Lambert St Ste 520 Lake Forest, CA - 926301614 |
Business Phone Number: | 9493104267 |
Business Fax Number: | 8883909730 |
Mailing Address: | 22691 Lambert St Ste 520, LAKE FOREST |
State: | CA |
Postal Code: | 926301614 |
Phone Number: | 9493104267 |
Fax Number: | 8883909730 |
NPI Enumeration Date: | 11/07/2007 |
NPI Last Update Date: | 04/28/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 33293 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |