Individual
MR. COREY WAYNE SOMERVILLE
Active
Individual
MR. COREY WAYNE SOMERVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
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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