Individual
MR. JOHN PATRICK CORKERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 N. CLEARWATER-LARGO RD, ST. PETERSBURG, FL 33770
(727) 588-1866
Mailing address
5526 WILLOW ST NORTH, ST. PETERSBURG, FL 33703
(813) 789-5104
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 18675
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA 18675
DEPT OF HEALTH DIVISION
FL
Enumeration date
04/17/2007
Last updated
07/08/2007
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