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Individual

MR. COREY EMERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
9724 W SAMPLE RD, CORAL SPRINGS, FL 33065-4004
(954) 255-5437
Mailing address
10870 NW 73RD CT, PARKLAND, FL 33076-1838

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
OT-4694
FL
225XP0200X
Pediatric Occupational Therapist
Primary
OT-4694
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
810671101
FL
Enumeration date
08/18/2006
Last updated
10/04/2013
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