Individual
GENA R KORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT, CERT, MDT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J0000744
DE
225100000X
Physical Therapist
PT002780E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7043347
AETNA PROVIDER ID
DE
01
—
UP1205
BCBS PROVIDER ID
DE
Enumeration date
05/31/2005
Last updated
09/27/2007
Update your record
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