Individual
KORIN DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1715 61ST AVE, GREELEY, CO 80634-7989
(970) 793-4015
Mailing address
878 PLUM CREEK CT, BRIGHTON, CO 80601-4383
(424) 901-9868
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
299129
CA
225100000X
Physical Therapist
Primary
PTL0017605
CO
Other
Enumeration date
04/08/2021
Last updated
11/22/2022
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