Individual
COREY BLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, CSCS
Contact information
Practice address
621 SCIENCE DR, MAIL STOP 9150, MADISON, WI 53711-1074
(608) 266-6071
(608) 890-8568
Mailing address
621 SCIENCE DR, MAIL STOP 9150, MADISON, WI 53711-1074
(608) 266-6071
(608) 890-8568
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13506 - 24
WI
225100000X
Physical Therapist
5501017753
MI
Other
Enumeration date
06/24/2016
Last updated
06/24/2016
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