Individual
DALE R CORUM II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4357 MAYNARDVILLE HWY, MAYNARDVILLE, TN 37807-3623
(865) 745-1799
(865) 745-1806
Mailing address
PO BOX 96, MAYNARDVILLE, TN 37807-0096
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
004863
KY
225100000X
Physical Therapist
Primary
PT0000005712
TN
Other
Enumeration date
07/20/2006
Last updated
07/17/2022
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