Provider Demographics
NPI:1851931414
Name:KALAMAR PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:KALAMAR PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAYLEIGH
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:KALAMAR
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, CSCS
Authorized Official - Phone:484-241-1519
Mailing Address - Street 1:2241 WILLOW OAK CIR APT 202
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23451-6840
Mailing Address - Country:US
Mailing Address - Phone:484-241-1519
Mailing Address - Fax:
Practice Address - Street 1:5252 LEARNING CIR
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-1399
Practice Address - Country:US
Practice Address - Phone:484-241-1519
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-13
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy