Individual
CALVIN HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
78 WEST ST, LIBERTY, NY 12754-1413
(845) 866-4349
Mailing address
78 WEST ST, LIBERTY, NY 12754-1413
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
042344
NY
225100000X
Physical Therapist
Primary
P17526
NC
225100000X
Physical Therapist
PT0000011322
TN
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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