Individual
COREY NICKERSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
10233 E NORTHWEST HWY STE 410, DALLAS, TX 75238-4430
(469) 221-9203
Mailing address
1701 EVERGLADES DR, FORNEY, TX 75126-3464
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1389702
TX
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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