Individual
CORIE CERDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAT, ATC, LAT
Contact information
Practice address
2520 WW THORNE BLVD, HOUSTON, TX 77073-3406
(281) 449-1011
Mailing address
27600 KINGS MANOR DR N APT 1763, KINGWOOD, TX 77339-2169
(512) 818-6038
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7148
TX
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2016
Last updated
01/07/2023
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