Individual
KATHY CALLAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MHS, CHT
Contact information
Practice address
750 PRIDES XING STE 112, NEWARK, DE 19713-6107
(302) 864-2222
(302) 894-1601
Mailing address
750 PRIDES XING STE 112, NEWARK, DE 19713-6107
(302) 864-2222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J10000374
DE
225100000X
Physical Therapist
PT001208E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0033428000
AMERIHEALTH
—
01
—
098101
PABS
—
05
—
1000038042
—
DE
01
—
5070-0013
CARE FIRST
—
01
—
76915607
NCA
—
01
—
98101
PA BS
—
Enumeration date
06/11/2006
Last updated
03/03/2025
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