Individual
MR. MARK ANDREW CALLANAN
Active
Individual
MR. MARK ANDREW CALLANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2008025212
MO
2251G0304X
Geriatric Physical Therapist
2008025212
MO
2251P0200X
Pediatric Physical Therapist
2008025212
MO
2251S0007X
Sports Physical Therapist
2008025212
MO
2251X0800X
Orthopedic Physical Therapist
2008025212
MO
Other
Enumeration date
07/28/2008
Last updated
08/20/2008
Update your record
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