Doctor Name: | MRS. CHRISTINE ANNE KORNEGAY |
NPI Number: | 1801104518 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT, PT |
License Number: | P12835 |
Business Practice Address: | 10560 Ligon Mill Rd. Suite 109 Wake Forest, NC - 27587 |
Business Phone Number: | 9195564678 |
Business Fax Number: | |
Mailing Address: | 10560 Ligon Mill Rd, Suite 109 WAKE FOREST |
State: | NC |
Postal Code: | 27587 |
Phone Number: | 9195564678 |
Fax Number: | |
NPI Enumeration Date: | 09/15/2010 |
NPI Last Update Date: | 03/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | P12835 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
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 |