Individual
DEIDRE ANN CALLAGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
555 ST.JOSEPHS BLVD, ELMIRA, NY 14901
(607) 733-6541
(607) 737-1532
Mailing address
555 ST.JOSEPHS BLVD, ELMIRA, NY 14901
(607) 733-6541
(607) 737-1532
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
003260-1
NY
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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