Individual
KATHLEEN BLISS CALLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
45 BROAD ST, ELMER, NJ 08318-2201
(856) 358-6200
Mailing address
441 LAKEVIEW AVE, PITMAN, NJ 08071-1872
(856) 803-4007
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00396700
NJ
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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