Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 20693 | MA |
NPI | 1003243460 |
---|---|
Provider Name | Caitlin Winters Apel |
First Address | Lexington, MA 02420-4500 |
Second Address | Lexington, MA 02420-4500 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2013 |
Last Update Date | 18/09/2018 |