Caddy, Jaclyn M

Caddy, Jaclyn M is an individual health care provider with primary practice located at 9 Manhattan Square Ste B, Hampton VA 23666. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Caddy, Jaclyn M can be contacted via phone (757) 825-3400.

Contact Information

Primary practice address
9 Manhattan Square Ste B Hampton VA 23666
Phone: (757) 825-3400
Fax: (757) 825-0392
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2305204255 Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X DAPT000324 Pennsylvania
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT015366 Pennsylvania

Profile Details

NPI number 1013977545
LBN Legal business name Caddy, Jaclyn M
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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