Organization
HOUSE CALL PHYSICAL THERAPY & REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH CHARLES CALANDRA P.T. (DIRECTOR)
(801) 898-5050
Entity
Organization
Contact information
Practice address
5406 W LETICIA CT, WEST JORDAN, UT 84084-7560
(801) 898-5050
(801) 969-3885
Mailing address
5406 W LETICIA CT, WEST JORDAN, UT 84084-7560
(801) 898-5050
(801) 969-3885
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2753722401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09852155103001
BLUE CROSS BLUE SHIELD
UT
01
—
DE2148
RAILROAD MEDICARE
UT
01
—
QMP000003343017
MOLINA
UT
Enumeration date
04/14/2008
Last updated
06/23/2008
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