| Doctor Name: | DOUGLAS SCOTT KORCEK |
| NPI Number: | 1386640902 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | PT9569 |
| Business Practice Address: | 122 Scott River Rd Fort Jones, CA - 960329620 |
| Business Phone Number: | 5304685528 |
| Business Fax Number: | 5304685445 |
| Mailing Address: | Po Box 217, FORT JONES |
| State: | CA |
| Postal Code: | 960320217 |
| Phone Number: | 5304685528 |
| Fax Number: | 5304685445 |
| NPI Enumeration Date: | 06/28/2005 |
| NPI Last Update Date: | 05/06/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 03/25/2006 |
| NPI Reactivation Date: | 04/06/2006 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT9569 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| 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 |