Individual
GLENN M KORENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
11550 OLDE STONE CT, CONCORD TWP, OH 44077-8933
(440) 639-1123
(440) 639-1708
Mailing address
11550 OLDE STONE CT, CONCORD TWP, OH 44077-8933
(440) 639-1123
(440) 639-1708
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2012
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2534234
—
OH
Enumeration date
02/06/2006
Last updated
05/27/2009
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