Most Relevant Information
Provider Data
| NPI Number: | 1003360033 |
| Provider Name: | CAITLIN DEEMS PT, DPT, ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT012543 |
Most Important Dates
| Enumeration Date: | 08/08/2016 |
| Last Updated: | 04/01/2019 |
Provider Practice Location
4100 S FERDON BLVD STE A1
CRESTVIEW
FL
325365287
Practice Location Phone/Fax
| Phone: | 8506828388 |
| Fax: |
Provider Mailing Location
4554 SIMPSON ST
MILTON
FL
325834118
Provider Mailing Phone/Fax
| Phone: | 8505826077 |
| Fax: |