Paul Karel Cornelissens, PT
Physical Therapist in Jacksonville, FL. Individual provider (NPI-1).
NPI number1487820122
StatusActive
Last updated in NPPESMay 2, 2008
Details
- NPI
- 1487820122
- Entity type
- Individual (NPI-1)
- Name
- Paul Karel Cornelissens
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 2, 2008
- Last updated
- May 2, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT7165 | FL | Yes |
Practice location
800 Prudential DrJacksonville, FL 32207-8202
Phone 904-202-2000
Mailing address
4626 Attleboro StJacksonville, FL 32205-5039
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