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Individual

MARK GREGORY CALAWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
600 S MCKINLEY ST, SUITE 210, LITTLE ROCK, AR 72205-5202
(501) 225-0181
(501) 225-0384
Mailing address
600 S MCKINLEY ST, SUITE 210, LITTLE ROCK, AR 72205-5202
(501) 225-0181
(501) 225-0384

Taxonomy

Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
PT1208
AR
2251X0800X
Orthopedic Physical Therapist
Primary
PT1208
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00753833
RRM
AR
01
PT1208
ASB OF PT
AR
Enumeration date
05/01/2006
Last updated
06/11/2014
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