Provider Demographics
NPI:1073560629
Name:CALO, RACHELLE ANN (PT)
Entity Type:Individual
Prefix:MRS
First Name:RACHELLE
Middle Name:ANN
Last Name:CALO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 MANCHESTER RD
Mailing Address - Street 2:2R
Mailing Address - City:EASTCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10709-1305
Mailing Address - Country:US
Mailing Address - Phone:646-284-1299
Mailing Address - Fax:
Practice Address - Street 1:70 MANCHESTER RD
Practice Address - Street 2:2R
Practice Address - City:EASTCHESTER
Practice Address - State:NY
Practice Address - Zip Code:10709-1305
Practice Address - Country:US
Practice Address - Phone:646-284-1299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-28
Last Update Date:2017-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023927225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist