Individual
MR. CHARLES ROBERT CALLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
4408 KENSINGTON DR, SAINT JOSEPH, MO 64506-5064
(816) 383-1715
Mailing address
4408 KENSINGTON DR., ST. JOSEPH, MO 64506
(816) 383-1715
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1400700
KS
Other
Enumeration date
09/09/2009
Last updated
09/09/2009
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