| Doctor Name: | DANIEL CORKISH |
| NPI Number: | 1306964796 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | PT30278 |
| Business Practice Address: | 39 El Camino Real Millbrae, CA - 940302603 |
| Business Phone Number: | 6506972376 |
| Business Fax Number: | 6506972374 |
| Mailing Address: | Po Box 491689, REDDING |
| State: | CA |
| Postal Code: | 960491689 |
| Phone Number: | 6506972376 |
| Fax Number: | 6506972374 |
| NPI Enumeration Date: | 03/26/2007 |
| NPI Last Update Date: | 02/25/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251S0007X |
| License Number: | PT30278 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Sports |
| Taxonomy Definition: | |