Individual
MARK LEIPHAM CALLANEN
Active
Individual
MARK LEIPHAM CALLANEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
006776
KY
225100000X
Physical Therapist
05012019A
IN
225100000X
Physical Therapist
7945
SC
225100000X
Physical Therapist
Primary
9745
TN
225100000X
Physical Therapist
PT24601
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q000687
—
TN
Enumeration date
12/12/2005
Last updated
03/07/2016
Update your record
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