Individual
MICHAEL CORRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6447 QUAIL ST, ARVADA, CO 80004-2600
(888) 617-6185
Mailing address
3760 W 112TH AVE UNIT 104, WESTMINSTER, CO 80031-2142
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0013253
CO
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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