Individual
SARAH CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
14704
NC
2251P0200X
Pediatric Physical Therapist
Primary
14704
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29096512
DRIVER'S LICENSE
NC
Enumeration date
02/22/2014
Last updated
02/22/2014
Update your record
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