Provider Demographics
NPI:1235215120
Name:CALE, RHONDA LEE (PT)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:LEE
Last Name:CALE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:477 PLATINO LN
Mailing Address - Street 2:
Mailing Address - City:ARROYO GRANDE
Mailing Address - State:CA
Mailing Address - Zip Code:93420-2307
Mailing Address - Country:US
Mailing Address - Phone:805-474-9209
Mailing Address - Fax:
Practice Address - Street 1:201 N COLLEGE DR
Practice Address - Street 2:#203
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-4614
Practice Address - Country:US
Practice Address - Phone:805-922-1724
Practice Address - Fax:805-922-2765
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT13408174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWPT13408CMedicare ID - Type UnspecifiedP.T.
CAWPT13408DMedicare ID - Type UnspecifiedP.T.