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Individual
MR. MATTHEW PAUL CALLAHAN
Active
Individual
MR. MATTHEW PAUL CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT, MTC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008391L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001795375
—
PA
Enumeration date
07/01/2005
Last updated
07/08/2010
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