Dale R Corum II, PT

NPI #1982624250 in Maynardville, Tennessee

Provider Information

NPI Number: 1982624250
Entity Type: Individual
Name: Dale R Corum II, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jul 20, 2006
Last Updated: Jul 17, 2022

Practice Location

Address: 4357 MAYNARDVILLE HWY
City: Maynardville
State: Tennessee
ZIP Code: 37807-3623
Phone: (865) 745-1799

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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Organizations

Provider Name	Specialty	City
Independent Physical Therapy LLC	Physical Therapist	Maynardville	AI Deep Dive

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