Provider Demographics
NPI:1902158496
Name:LURIA, CORINNE (PT, GCFP)
Entity Type:Individual
Prefix:MS
First Name:CORINNE
Middle Name:
Last Name:LURIA
Suffix:
Gender:F
Credentials:PT, GCFP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1621 MICANOPY AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-2509
Mailing Address - Country:US
Mailing Address - Phone:786-253-0471
Mailing Address - Fax:
Practice Address - Street 1:1621 MICANOPY AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-2509
Practice Address - Country:US
Practice Address - Phone:786-253-0471
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-08
Last Update Date:2012-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 15302251N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology