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MALIK CALLOWAY
>> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1316385297
Individual Registrant: MALIK CALLOWAY
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
320 W VALLEY BLVD ALHAMBRA, CA 91803-3338 US
Tel: 909-648-6903 Fax: --
Tel: 909-648-6903 Fax: --
Contact information for business:
4959 ALTA DR SAN BERNARDINO, CA 92407-2983 US
Tel: 909-648-6903 Fax: --
Tel: 909-648-6903 Fax: --
Registration Information:
NPI: 1316385297
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
