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Individual

TERRY G CALKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OT CHT

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
221
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000663330
BLUECROSS BLUESHIELD
MT
05
121840900
WY
05
3400059
MT
01
P00053797
RR MEDICARE
MT
Enumeration date
08/18/2005
Last updated
04/29/2008
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