Individual
KORI CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1120 N TOWN CENTER DR STE 120, LAS VEGAS, NV 89144-6302
(866) 960-7691
(866) 960-7692
Mailing address
2216 MENIFEE CT, LAS VEGAS, NV 89134-2609
(347) 262-4447
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2367
NV
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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