Jacob Caldwell, RPT

NPI 1750561775 · on the registry since 2007 · sole proprietor

Practice

Address: 22691 Lambert St Ste 520
Lake Forest, CA 92630
Phone: (949) 310-4267
Fax: (888) 390-9730
Organisation at this address: Infinity Kids Corporation
Primitive Therapy Physical Therapy Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 24

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-04-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California