Individual
LUIS RENE' CORREA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
958 COLLETT AVE, BOWLING GREEN, KY 42101-2304
(270) 796-6822
(270) 745-1473
Mailing address
1368 HAYNER RD, BOWLING GREEN, KY 42104-7889
(270) 843-1407
(270) 745-1473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001367
KY
Other
Enumeration date
05/19/2006
Last updated
07/08/2007
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