Thomas Joseph Callahan IV, PTA
Physical Therapy Assistant in Jacksonville, FL. Individual provider (NPI-1).
NPI number1275075889
StatusActive
Last updated in NPPESNov 14, 2016
Details
- NPI
- 1275075889
- Entity type
- Individual (NPI-1)
- Name
- Mr. Thomas Joseph Callahan IV
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 14, 2016
- Last updated
- Nov 14, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 27255 | FL | Yes |
Practice location
6248 103rd StJacksonville, FL 32210-7733
Phone 904-573-0046 · Fax 904-573-0772
Mailing address
10135 Gate Pkwy NApt 1116
Jacksonville, FL 32246-8274
Phone 352-213-8851
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All 189 Physical Therapy Assistant providers in Jacksonville · All 31,644 providers in Jacksonville
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