Provider Demographics
NPI:1306305818
Name:CALLING, MELVIN (PT)
Entity type:Individual
Prefix:
First Name:MELVIN
Middle Name:
Last Name:CALLING
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:MELVIN
Other - Middle Name:
Other - Last Name:CALLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1128 MARY DR
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21550-1429
Mailing Address - Country:US
Mailing Address - Phone:301-509-5357
Mailing Address - Fax:
Practice Address - Street 1:891 DORSEY HOTEL RD
Practice Address - Street 2:
Practice Address - City:GRANTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21536-1369
Practice Address - Country:US
Practice Address - Phone:301-895-4017
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-14
Last Update Date:2019-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD18369225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist