Doctor Name: | CALLIE CORDRAY |
NPI Number: | 1699701235 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 5294 |
Business Practice Address: | 3690 Bohicket Rd Johns Island, SC - 294557127 |
Business Phone Number: | 8437682093 |
Business Fax Number: | 8437684526 |
Mailing Address: | 586 Lone Tree Drive, MT PLEASANT |
State: | SC |
Postal Code: | 294641390 |
Phone Number: | 8438847880 |
Fax Number: | 8438846635 |
NPI Enumeration Date: | 06/24/2006 |
NPI Last Update Date: | 10/04/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5294 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |