Individual
MR. COREY J SAN MIGUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
6049 W INTERSTATE 20, ARLINGTON, TX 76017-1042
(817) 483-1746
(817) 483-5874
Mailing address
6049 W INTERSTATE 20, ARLINGTON, TX 76017-1042
(817) 483-1746
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3113132
TX
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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