Provider Demographics
NPI:1679545206
Name:MCCALL, GREGORY DEAN (PT)
Entity type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:DEAN
Last Name:MCCALL
Suffix:
Gender:M
Credentials:PT
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Mailing Address - Street 1:1776 S JACKSON ST STE 701
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-3806
Mailing Address - Country:US
Mailing Address - Phone:303-757-2455
Mailing Address - Fax:303-757-2453
Practice Address - Street 1:1776 S JACKSON ST STE 701
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-3806
Practice Address - Country:US
Practice Address - Phone:303-757-2455
Practice Address - Fax:303-757-2453
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO24862251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic