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Contact Information

JACLYN M CADDY, MPT
9 MANHATTAN SQUARE
STE B
HAMPTON, VA23666
 Phone: 757-825-3400
 Fax: 757-825-0392
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JACLYN M CADDY · (Female)

NPI # 1013977545
Status Active
Credentials MPT (Master of Physical Therapy)
Entity Individual
Enumeration date 03/27/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA License # DAPT000324
  • PA License # PT015366
  • VA License # 2305204255
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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