Provider Demographics
NPI:1174526800
Name:CALVERT, PAUL K (PT)
Entity type:Individual
Prefix:MR
First Name:PAUL
Middle Name:K
Last Name:CALVERT
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:PO BOX 6230
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-0722
Mailing Address - Country:US
Mailing Address - Phone:304-242-7106
Mailing Address - Fax:304-242-7108
Practice Address - Street 1:74 ERIN DR
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26508-1371
Practice Address - Country:US
Practice Address - Phone:304-594-2500
Practice Address - Fax:304-594-9310
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV001435174400000X, 225100000X
SC5731225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No174400000XOther Service ProvidersSpecialist