Provider Demographics
NPI:1699833582
Name:CALKIN, NANCY ANN (PT,CHT)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:ANN
Last Name:CALKIN
Suffix:
Gender:F
Credentials:PT,CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1425 SOUTH MAIN STREET, WALNUT CREEK, CALIFORNIA 94596
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-3403
Mailing Address - Country:US
Mailing Address - Phone:925-295-4871
Mailing Address - Fax:
Practice Address - Street 1:HAND THERAPY, 4TH FLOOR, MOB 1, KAISER PERMANENTE
Practice Address - Street 2:1425 SOUTH MAIN STREET
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596
Practice Address - Country:US
Practice Address - Phone:925-295-4871
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 13396225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPT 13396OtherPHYSICAL THERAPY
CA9611000104OtherCERTIFIED HAND THERAPIST