Provider Demographics
NPI:1487983854
Name:CALMA, MA.SOCORRO
Entity type:Individual
Prefix:
First Name:MA.SOCORRO
Middle Name:
Last Name:CALMA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 SHASTA LN
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-2391
Mailing Address - Country:US
Mailing Address - Phone:732-255-1121
Mailing Address - Fax:
Practice Address - Street 1:36 SHASTA LN
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-2391
Practice Address - Country:US
Practice Address - Phone:732-255-1121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-15
Last Update Date:2009-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJPT40QA00693800225100000X
NY019276-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist