Organization
CORNISH THERAPEUTIC CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL FRANCIS CORNISH PHYSICAL THERAPIST (PRESIDENT)
(727) 251-8903
Entity
Organization
Contact information
Practice address
11590 SEMINOLE BLVD, SUITE C-4, LARGO, FL 33778-3204
(727) 251-8903
(727) 393-5986
Mailing address
16128 4TH ST E, REDINGTON BEACH, FL 33708-1614
(727) 251-8903
(727) 393-5986
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT19198
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
887320896
—
FL
05
—
889996700
—
FL
Enumeration date
05/31/2006
Last updated
05/29/2008
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