Individual
CHARLES BRENDAN CALLAGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2301 NW 7TH AVE, WILTON MANORS, FL 33311-3722
(954) 669-0032
Mailing address
2301 NW 7TH AVE, WILTON MANORS, FL 33311-3722
(954) 669-0032
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
24150
FL
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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