Individual
CALLIE DELOACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
105 N MAIN ST STE C, CLEVELAND, GA 30528-1123
(706) 219-4507
(706) 865-1501
Mailing address
1200 CORPORATE DR STE 400, BIRMINGHAM, AL 35242-5424
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT014630
GA
Other
Enumeration date
07/31/2020
Last updated
07/31/2020
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