Edward Stephen Kornacki
Edward Stephen Kornacki is a Physical Therapist in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2018.
- Licensed in
- MI
- In the registry since
- 2018
Practice location Address checks out
2799 W Grand BlvdDetroit, MI 48202-2608
Phone: (313) 916-1128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 5501008916 (MI) |
|---|
Record details
| NPI number | 1528560620 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 5, 2018 |
| Last updated in NPPES | March 29, 2021 |
| Certification date | March 29, 2021 |
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