Corgan, Katrina

Corgan, Katrina is an individual health care provider with primary practice located at 11210 95Th St , Coal Valley IL 61240-9360. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Corgan, Katrina can be contacted via phone (309) 799-3161.

Contact Information

Primary practice address
11210 95Th St Coal Valley IL 61240-9360
Phone: (309) 799-3161
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 160.003548 Illinois

Profile Details

NPI number 1861669046
LBN Legal business name Corgan, Katrina
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2008
Last updated May 15th, 2008 - about 17 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861669046 NPPES
Illinois Other 160.003548 IL STATE LICENSE TO PRACTICE

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