Individual
COREY KALISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2884 WELLNESS AVE STE 300, ORANGE CITY, FL 32763-8427
(386) 774-4404
Mailing address
514 NANTUCKET CT APT 204, ALTAMONTE SPRINGS, FL 32714-2194
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA29827
FL
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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