Individual
CORIE ENGLEKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4444 CORONA DR, SUITE 234, CORPUS CHRISTI, TX 78411-4324
(361) 854-1110
(817) 789-6849
Mailing address
2905 SANTA FE ST, APT 1, CORPUS CHRISTI, TX 78404-1672
(361) 232-9045
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209969
TX
224Z00000X
Occupational Therapy Assistant
A02210
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149984001
—
TX
05
—
207164901
—
TX
Enumeration date
03/26/2013
Last updated
02/06/2015
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