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Individual

MR. PERCIVAL CORPUZ JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
715 E KING ST, SEAFORD, DE 19973-3505
(610) 925-4148
(610) 347-4948
Mailing address
3100 TURTLEBROOK CT, DAYTON, OH 45414-1783
(443) 509-5071

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0002767
DE

Other

Enumeration date
02/21/2012
Last updated
02/21/2012
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