Individual
MRS. SELENA CHRISTIE MCCORKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
2001 RIDGEWOOD DR, SALEM, VA 24153-7126
(540) 387-4120
(540) 387-4121
Mailing address
2001 RIDGEWOOD DR, SALEM, VA 24153-7126
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306601280
VA
Other
Enumeration date
06/14/2007
Last updated
02/18/2011
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