Individual
DEE CORNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT ATC
Contact information
Practice address
2800 S FM 51, ST B, DECATUR, TX 76234
(940) 627-7532
(940) 627-7547
Mailing address
POB 1018, DECATUR, TX 76234
(940) 390-7346
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1125474
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0217143-01
—
TX
Enumeration date
09/27/2006
Last updated
10/19/2009
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