Individual
CORBIN SURATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1861 WESTEN ST STE B, BOWLING GREEN, KY 42104-4151
(270) 904-2753
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008843
KY
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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