Individual
COREY MICHAEL OMALLEY
Active
Individual
COREY MICHAEL OMALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, SCS, CSCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251S0007X
Sports Physical Therapist
PT60819888
WA
2251X0800X
Orthopedic Physical Therapist
OR211072
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT60819888
PT LICENSE
WA
Enumeration date
12/27/2017
Last updated
07/25/2024
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