Caleb Doup, PTA | |
781 Fairgrounds Rd Ste A, Mount Vernon, OH 43050-1165 | |
(740) 263-7997 | |
Not Available |
Full Name | Caleb Doup |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 6 Years |
Location | 781 Fairgrounds Rd Ste A, Mount Vernon, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285090704 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 017832 (Ohio) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sportpro Llc | 6305142571 | 3 |
Provider Name | Sportpro Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1881069789 PECOS PAC ID: 6305142571 Enrollment ID: O20160315000308 |
Mailing Address | Practice Location Address |
---|---|
Caleb Doup, PTA 781 Fairgrounds Rd Ste A, Mount Vernon, OH 43050-1165 Ph: (740) 263-7997 | Caleb Doup, PTA 781 Fairgrounds Rd Ste A, Mount Vernon, OH 43050-1165 Ph: (740) 263-7997 |
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