Individual
GENA R KORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT, CERT, MDT
Contact information
Practice address
2323 PENNSYLVANIA AVE, 2ND FLOOR, WILMINGTON, DE 19806-1332
(302) 888-2551
(302) 888-2571
Mailing address
505 CORRINE RD, WEST CHESTER, PA 19382-6781
(610) 793-3514
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
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