Provider Demographics
NPI:1003044132
Name:CALVO, DAVID (OT)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:CALVO
Suffix:
Gender:M
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12721 SW 209TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-7413
Mailing Address - Country:US
Mailing Address - Phone:352-871-8020
Mailing Address - Fax:
Practice Address - Street 1:12721 SW 209TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33177-7413
Practice Address - Country:US
Practice Address - Phone:352-871-8020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-26
Last Update Date:2009-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9874225X00000X
HI925225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist