Provider Demographics
NPI:1376668699
Name:CALLENDER, NANCY E (PT)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:E
Last Name:CALLENDER
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 1:22 HEMLOCK TER
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:MA
Mailing Address - Zip Code:02368-3908
Mailing Address - Country:US
Mailing Address - Phone:781-961-2333
Mailing Address - Fax:
Practice Address - Street 1:745 TRUMAN HWY
Practice Address - Street 2:
Practice Address - City:HYDE PARK
Practice Address - State:MA
Practice Address - Zip Code:02136-3536
Practice Address - Country:US
Practice Address - Phone:617-361-8300
Practice Address - Fax:617-361-6197
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAAH 2608 PT225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist