Doctor Name: | JEAN DIANE KORNETT |
NPI Number: | 1205912458 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 1148 |
Business Practice Address: | 2675 Court Drive Gastonia, NC - 28054 |
Business Phone Number: | 7048247800 |
Business Fax Number: | 7048242853 |
Mailing Address: | 2675 Court Drive, GASTONIA |
State: | NC |
Postal Code: | 28054 |
Phone Number: | 7048247800 |
Fax Number: | |
NPI Enumeration Date: | 10/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1148 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
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 |