Individual
GERALD CALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
2537 GOLDEN BEAR DR, CARROLLTON, TX 75006-2377
(215) 552-6817
Mailing address
2537 GOLDEN BEAR DR, CARROLLTON, TX 75006-2377
(215) 552-6817
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
207979
TX
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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