Corderman, Kristen S
Corderman, Kristen S is an individual health care provider with primary practice located at 48Th Mdg Unit 5115, Apo AE 09461. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Corderman, Kristen S can be contacted via phone (850) 238-3966.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT20877 | Florida |
Profile Details
| NPI number | 1164459210 |
|---|---|
| LBN Legal business name | Corderman, Kristen S |
| Credentials | PT, DPT, OCS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2006 |
| Last updated | Jun 4th, 2024 - about 3 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164459210 | NPPES |
| Florida | Other | U4475Z | MEDICARE PROVIDER NUMBER |
| Florida | Other | Y906W | MEDICARE PROVIDER NUMBER |
| Florida | MEDICAID | 891318800 | MEDICARE PROVIDER NUMBER |
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