Doctor Name: | KELLY CORRADO |
NPI Number: | 1174929798 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | PT 29197 |
Business Practice Address: | 236 Mohawk Rd Clermont, FL - 347157433 |
Business Phone Number: | 8554046908 |
Business Fax Number: | 3524046909 |
Mailing Address: | 443 S Horseshoe Rd, SAINT AUGUSTINE |
State: | FL |
Postal Code: | 320841698 |
Phone Number: | 9045400584 |
Fax Number: | |
NPI Enumeration Date: | 11/10/2014 |
NPI Last Update Date: | 11/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 29197 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |