Most Relevant Information
Provider Data
| NPI Number: | 1003279720 |
| Provider Name: | IVONNE CALLE |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 15879 |
Most Important Dates
| Enumeration Date: | 03/30/2016 |
| Last Updated: | 03/30/2016 |
Provider Practice Location
101 E STATE ST
KENNETT SQUARE
PA
193483109
Practice Location Phone/Fax
| Phone: | 9257300950 |
| Fax: |
Provider Mailing Location
1160 LINCOLN AVE APT 315
WALNUT CREEK
CA
945964717
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |