Doctor Name: | MR. GREG B CORNFORTH |
NPI Number: | 1275662140 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 2305005530 |
Business Practice Address: | 395 Highland Dr. Lebanon, VA - 24266 |
Business Phone Number: | 2768894090 |
Business Fax Number: | 2768894026 |
Mailing Address: | 362 Sunset Dr, ABINGDON |
State: | VA |
Postal Code: | 242102314 |
Phone Number: | 2766232128 |
Fax Number: | 2768894026 |
NPI Enumeration Date: | 03/05/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2305005530 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | VA |
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 |