Individual
MR. COREY MATHEW SOBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1175 WILSON AVE NW, GRAND RAPIDS, MI 49534-3493
(616) 284-3686
(616) 301-1984
Mailing address
11794 8TH AVE NW, GRAND RAPIDS, MI 49534
(616) 677-5432
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501011221
MI
Other
Enumeration date
09/06/2006
Last updated
10/08/2008
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