Cory Troop
Rehabilitation Practitioner in San Jose, CA. Individual provider (NPI-1).
NPI number1891363693
StatusActive
Last updated in NPPESOct 7, 2025
Details
- NPI
- 1891363693
- Entity type
- Individual (NPI-1)
- Name
- Cory Troop
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 16, 2021
- Certification date
- Oct 7, 2025
- Last updated
- Oct 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
232 E Gish RdSan Jose, CA 95112-4706
Phone 408-768-6301
Mailing address
232 E Gish RdSan Jose, CA 95112-4706
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