Individual
KEITH E CALLANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
1519 CENTRAL ST, STOUGHTON, MA 02072-4415
(781) 297-0979
(781) 297-3703
Mailing address
1519 CENTRAL ST, STOUGHTON, MA 02072-4415
(781) 297-0979
(781) 297-3703
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13381
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y67872
BCBS
MA
Enumeration date
09/15/2006
Last updated
08/28/2024
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