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Callie Ariane Mousley

Physical Therapist in Carbondale, PA. Individual provider (NPI-1).

NPI number1114781663
StatusActive
Last updated in NPPESFeb 7, 2024

Details

NPI
1114781663
Entity type
Individual (NPI-1)
Name
Callie Ariane Mousley
Sex
Female
Sole proprietor
No
Enumeration date
Feb 6, 2024
Certification date
Feb 7, 2024
Last updated
Feb 7, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT032089PAYes

Practice location

82 N Main St
Carbondale, PA 18407-1914

Phone 570-282-0200 · Fax 570-282-2229

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925

Phone 570-550-0168 · Fax 410-648-4878

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