Doctor Name: | MISS AMY LYNN MCCALLUMORE |
NPI Number: | 1851467542 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.P.T., O.M.P.T. |
License Number: | 5501011655 |
Business Practice Address: | 5210 Highland Rd Waterford, MI - 483271970 |
Business Phone Number: | 2486748855 |
Business Fax Number: | 2486740188 |
Mailing Address: | 1144 Erskine Way, WATERFORD |
State: | MI |
Postal Code: | 483284228 |
Phone Number: | 5862199560 |
Fax Number: | |
NPI Enumeration Date: | 11/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501011655 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |