Organization
ADRIAN CORNELIO, P.A.
Active
Organization
ADRIAN CORNELIO, P.A.
Active
Other names
Theraskills, P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADRIAN CORNELIO P.T. (P.T./PRESIDENT)
(870) 933-8006
Entity
Organization
Contact information
Practice address
1116 N NEW YORK ST EXTENSION, BRINKLEY, AR 72021
(870) 734-1155
Mailing address
3908 CHARLESTON DR., JONESBORO, AR 72404
(870) 933-8006
(870) 933-8006
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148352742
—
AR
Enumeration date
02/25/2009
Last updated
02/25/2009
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