Individual
HEATHER ANN COREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4110 S 144TH ST, OMAHA, NE 68137-1013
(402) 861-6683
(402) 861-6689
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2263
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0586404
—
IA
01
—
06526
BLUE CROSS BLUE SHIELD
NE
Enumeration date
11/16/2005
Last updated
12/05/2016
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