Individual
KEVIN CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
146 MARPLE RD, BROOMALL, PA 19008-2040
(610) 356-0100
Mailing address
79 WORRELL DR, SPRINGFIELD, PA 19064-3346
(610) 541-0694
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP001927L
PA
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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