Individual
PAGE CALLAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 OLD PECOS TRL, SUITE G, SANTA FE, NM 87505-4759
(505) 954-9940
Mailing address
2600 AGUA FRIA ST APT A, SANTA FE, NM 87505-6202
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
368
NM
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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