Individual
CALLIE CORDRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3690 BOHICKET RD, JOHNS ISLAND, SC 29455-7127
(843) 768-2093
(843) 768-4526
Mailing address
586 LONE TREE DRIVE, MT PLEASANT, SC 29464-1390
(843) 884-7880
(843) 884-6635
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5294
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1753
—
SC
05
—
TH1707
—
SC
Enumeration date
06/24/2006
Last updated
10/04/2007
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