Individual
CALVIN JAMES CANINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2759 S CLARK ST, SUITE A, MEXICO, MO 65265-3720
(573) 581-1880
Mailing address
2759 S CLARK ST, SUITE A, MEXICO, MO 65265-3720
(573) 581-1880
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00573
MO
Other
Enumeration date
11/17/2008
Last updated
07/22/2016
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