Individual
ANGELA MCCORKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
3965 W 83RD ST, PRAIRIE VILLAGE, KS 66208-5308
(913) 789-9170
(913) 789-9170
Mailing address
1141 E BUTTERFIELD PL, OLATHE, KS 66062-3138
(816) 726-3533
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-03018
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
205092719
MINDS MATTER
KS
Enumeration date
11/19/2013
Last updated
11/19/2013
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