Provider Demographics
NPI:1023754744
Name:ALDUENDA, CAITLYN NICOLE
Entity type:Individual
Prefix:MRS
First Name:CAITLYN
Middle Name:NICOLE
Last Name:ALDUENDA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5475 CANYON CREST DR APT 10
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92507-6432
Mailing Address - Country:US
Mailing Address - Phone:951-858-9825
Mailing Address - Fax:
Practice Address - Street 1:5475 CANYON CREST DR APT 10
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92507-6432
Practice Address - Country:US
Practice Address - Phone:951-858-9825
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-05
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist