Individual
COREY SAMUDOSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
609 MEDICAL CENTER DR BLDG 200, DECATUR, TX 76234-3866
(940) 626-1360
Mailing address
2951 PICADILLY LN APT 826, DENTON, TX 76207-2084
(412) 651-4379
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
1373953
TX
2251X0800X
Orthopedic Physical Therapist
Primary
1373953
TX
Other
Enumeration date
01/11/2024
Last updated
02/29/2024
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