Corey Ryan Frost Degaia, DPT
Physical Therapist in Apex, NC. Individual provider (NPI-1).
NPI number1366087330
StatusActive
Last updated in NPPESOct 13, 2020
Details
- NPI
- 1366087330
- Entity type
- Individual (NPI-1)
- Name
- Corey Ryan Frost Degaia
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 13, 2019
- Certification date
- Oct 13, 2020
- Last updated
- Oct 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | P19924 | NC | Yes |
| 225100000X | Physical Therapist | 61005829 | WA |
Practice location
1801 Olive Chapel Rd Ste 103Apex, NC 27502-8587
Phone 919-373-5353
Mailing address
350 New Fidelity CtGarner, NC 27529-2665
Phone 919-258-2714 · Fax 410-648-4878
Other practice locations
2701 60th Ave Se
Mercer Island, WA 98040-2416
Mercer Island, WA 98040-2416
Phone 206-230-9613 · Fax 206-275-3205
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All 97 Physical Therapist providers in Apex · All 1,474 providers in Apex
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