MEDICARE: DR. ROBERT DUARD CALHOUN PT, DPT, ATC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251X0800X	Orthopedic Physical Therapist	294510	CA
2	225100000X	Physical Therapist	P19470	NC

General Provider Information

NPI Number	:	1487154035
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT DUARD CALHOUN PT, DPT, ATC

Provider Business Mailing Address
First Line	:	PO BOX 392573
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15251-9573
Country	:	US
Telephone Number	:	980-938-0693
Fax Number	:

Provider Business Practice Location Address
First Line	:	10616 METROMONT PKWY STE 104A
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28269-7657
Country	:	US
Telephone Number	:	980-938-0693
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2018
Last Update Date	:	10/08/2024

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