Individual
KRISTINA DAHNE MCCALLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(727) 505-8144
Mailing address
12913 SUNHILL CIR, HUDSON, FL 34667-2748
(727) 457-1984
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 20686
FL
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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