Individual
COREY RYAN FROST DEGAIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1801 OLIVE CHAPEL RD STE 103, APEX, NC 27502-8587
(919) 373-5353
Mailing address
350 NEW FIDELITY CT, GARNER, NC 27529-2665
(919) 258-2714
(410) 648-4878
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
61005829
WA
225100000X
Physical Therapist
Primary
P19924
NC
Other
Enumeration date
11/13/2019
Last updated
10/13/2020
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