Most Relevant Information
Provider Data
| NPI Number: | 1003060104 |
| Provider Name: | CALVIN JAMES CANINE PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 00573 |
Most Important Dates
| Enumeration Date: | 11/17/2008 |
| Last Updated: | 07/22/2016 |
Provider Practice Location
2759 S CLARK ST
SUITE A
MEXICO
MO
652653720
Practice Location Phone/Fax
| Phone: | 5735811880 |
| Fax: |
Provider Mailing Location
2759 S CLARK ST
SUITE A
MEXICO
MO
652653720
Provider Mailing Phone/Fax
| Phone: | 5735811880 |
| Fax: |