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KAILA CALVIN PTA

>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1467893552

Individual Registrant:
 KAILA  CALVIN PTA
Gender: F
Sole Proprietor

Location and contact information for practice:
211 E STADIUM  MAGNOLIA, AR 71753-2032 US
Tel: 870-234-7604  Fax: --

Contact information for business:
510 COLUMBIA ROAD 118  MC NEIL, AR 71752-6326 US
Tel: --  Fax: --

Registration Information:
NPI: 1467893552
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
ARPTA2742

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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