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Individual
MR. KORY PAUL FELKER
Active
Individual
MR. KORY PAUL FELKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT8023
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30-0335817
TAX I.D. NUMBER
CA
01
—
PT 28023
PHYSICAL THERAPY LICENSE
CA
Enumeration date
10/10/2005
Last updated
09/12/2008
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