Individual
GAIL CARMON CORNELISSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5073 MAIN ST STE 120, SPRING HILL, TN 37174-2738
(615) 302-3564
(615) 302-3067
Mailing address
PO BOX 306393, NASHVILLE, TN 37230-6393
(615) 373-1350
(615) 373-7116
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9280
TN
Other
Enumeration date
05/25/2012
Last updated
06/16/2020
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