Provider Demographics
NPI:1346947132
Name:CORJAY, SEAN JOSEPH (DPT)
Entity Type:Individual
Prefix:DR
First Name:SEAN
Middle Name:JOSEPH
Last Name:CORJAY
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29019 SAN JACINTO RIVER CT
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-3608
Mailing Address - Country:US
Mailing Address - Phone:972-679-1377
Mailing Address - Fax:
Practice Address - Street 1:1803 W WHITE OAK TER STE C
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-3675
Practice Address - Country:US
Practice Address - Phone:936-494-1211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-13
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1372593225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist