Provider Demographics
NPI:1962288324
Name:DEWINNE, CALLIE RENEE (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:CALLIE
Middle Name:RENEE
Last Name:DEWINNE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14455 PRESTON RD APT 101
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75254-8540
Mailing Address - Country:US
Mailing Address - Phone:210-827-2413
Mailing Address - Fax:
Practice Address - Street 1:1740 N COLLINS BLVD
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-3640
Practice Address - Country:US
Practice Address - Phone:972-235-9035
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-01
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1382354225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist