CHARLES ROBERT CALLOWAY

SAINT JOSEPH, MO
NPI1750614772
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: KS  1400700)
Enumeration Date2009-09-09
Last Update Date2009-09-09
Business Address
Mr. CHARLES ROBERT CALLOWAY LPTA
4408 KENSINGTON DR
SAINT JOSEPH, MO 64506-5064
Phone number: 816-383-1715
Mailing Address
Mr. CHARLES ROBERT CALLOWAY LPTA
4408 KENSINGTON DR.
ST. JOSEPH, MO 64506
Phone number: 816-383-1715