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NPI Code Detail

MEDICARE: MICHAEL J CALLAHAN PTA

MEDICARE: MICHAEL J CALLAHAN PTA
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
1225200000XPhysical Therapy Assistant6222OH

General Provider Information

NPI Number : 1518265321
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL J CALLAHAN PTA
Provider Business Mailing Address
First Line : 183 SHANDA DR
Second Line :
City : MONROE
State : OH
Zip : 45050-2401
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8650 GOVERNORS HILL DR STE 180
Second Line :
City : CINCINNATI
State : OH
Zip : 45249-1399
Country : US
Telephone Number : 513-791-5766
Fax Number : 513-683-1500
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2011
Last Update Date : 03/02/2011

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Directions to “ MICHAEL J CALLAHAN PTA” Practice Location

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