Individual
MR. COREY WAYNE SOMERVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4200 S VALLEY VIEW BLVD, #3092, LAS VEGAS, NV 89103-4029
(570) 371-7088
Mailing address
4200 S VALLEY VIEW BLVD, #3092, LAS VEGAS, NV 89103-4029
(570) 371-7088
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2262
NV
225100000X
Physical Therapist
5401
SC
225100000X
Physical Therapist
PT018058
PA
Other
Enumeration date
04/09/2007
Last updated
11/14/2012
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