Individual
COREY LANGERUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5040 N 15TH AVE STE 401, PHOENIX, AZ 85015-3332
(602) 285-0949
Mailing address
5040 N 15TH AVE STE 401, PHOENIX, AZ 85015-3332
(602) 285-0949
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13126
AZ
Other
Enumeration date
07/19/2017
Last updated
07/21/2017
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