Provider Demographics
NPI:1386757474
Name:CALAWAY, EDITH W (PT)
Entity type:Individual
Prefix:
First Name:EDITH
Middle Name:W
Last Name:CALAWAY
Suffix:
Gender:F
Credentials:PT
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Other - First Name:
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Mailing Address - Street 1:600 S MCKINLEY ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-5202
Mailing Address - Country:US
Mailing Address - Phone:501-225-0181
Mailing Address - Fax:501-225-0384
Practice Address - Street 1:600 S MCKINLEY ST
Practice Address - Street 2:SUITE 210
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-5202
Practice Address - Country:US
Practice Address - Phone:501-225-0181
Practice Address - Fax:501-225-0384
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2014-06-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ARPT 1209225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR4A058C207Medicare PIN