Provider Demographics
NPI:1528566585
Name:CASWELL, ALLISON M (PT, DPT)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:M
Last Name:CASWELL
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 WENDOVER LN
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28411-7105
Mailing Address - Country:US
Mailing Address - Phone:401-864-7478
Mailing Address - Fax:
Practice Address - Street 1:83 CAVALIER DR # 100
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28405-4503
Practice Address - Country:US
Practice Address - Phone:910-679-8300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-24
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP15928225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist