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MALIK CALLOWAY

>> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1316385297

Individual Registrant:
 MALIK  CALLOWAY 
Gender: M
Sole Proprietor

Location and contact information for practice:
320 W VALLEY BLVD  ALHAMBRA, CA 91803-3338 US
Tel: 909-648-6903  Fax: --

Contact information for business:
4959 ALTA DR  SAN BERNARDINO, CA 92407-2983 US
Tel: 909-648-6903  Fax: --

Registration Information:
NPI: 1316385297
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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