Individual
DANIEL CORKISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1860 EL CAMINO REAL, STE 420, BURLINGAME, CA 94010-3117
(650) 697-2376
(650) 697-2374
Mailing address
PO BOX 816, MILLBRAE, CA 94030-0816
(650) 652-2376
(650) 652-9097
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
PT30278
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT30278
PT LICENSE
CA
Enumeration date
03/26/2007
Last updated
04/26/2018
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