Individual
JOHN CORLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3832 E MAIN ST, STE E, FARMINGTON, NM 87402-8749
(505) 258-4003
(505) 436-2740
Mailing address
3832 E MAIN ST, STE E, FARMINGTON, NM 87402-8749
(505) 258-4003
(505) 436-2740
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
05/19/2015
Last updated
05/19/2015
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