Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Caledonia Cornell, PTA

Individual provider Physical Therapy Assistant · NPI 1356103642

Caledonia Cornell, PTA is a Physical Therapy Assistant in Waterville, Maine. Practices as a sole proprietor. Licensed in Maine.

Licensed in
ME
In the registry since
2024
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

27 Cool St
Waterville, ME 04901-5221
Phone: (207) 873-0721
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PA4969 (ME)

Record details

NPI number1356103642
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedJanuary 23, 2024
Last updated in NPPESJanuary 23, 2024
Certification dateJanuary 23, 2024
Mailing addressPo Box 23, Solon, ME 04979-0023

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