Provider Demographics
NPI:1770622110
Name:CORR, KATHLEEN JOANNE (PHYSICAL THERPAIST)
Entity type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:JOANNE
Last Name:CORR
Suffix:
Gender:F
Credentials:PHYSICAL THERPAIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3385 MARINER BLVD
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-2461
Mailing Address - Country:US
Mailing Address - Phone:352-683-8882
Mailing Address - Fax:352-683-8332
Practice Address - Street 1:3385 MARINER BLVD
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34609-2461
Practice Address - Country:US
Practice Address - Phone:352-683-8882
Practice Address - Fax:352-683-8332
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2015-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT9260225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist