| NPI | 1427203140 |
|---|---|
| Former Name | JOANNA MAE CALLATES CADIZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: CA 294717) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 030189) |
| Enumeration Date | 2008-11-21 |
| Last Update Date | 2020-05-07 |