Calhoun, Octavia R

Calhoun, Octavia R is an individual health care provider with primary practice located at 2931 Arbusto , Grand Prairie TX 75054-0150. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Calhoun, Octavia R can be contacted via phone (817) 904-2019.

Contact Information

Primary practice address
2931 Arbusto Grand Prairie TX 75054-0150
Fax:
Website:

Health care specialties

Profile Details

NPI number 1801022611
LBN Legal business name Calhoun, Octavia R
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2009
Last updated Feb 19th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801022611 NPPES
Oklahoma MEDICAID 200117320A

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