Individual provider · Type 1 NPI
Renee A. Cork, ATC
Student in an Organized Health Care Education/Training Program · Willaimsburg, VA
Practice location
751 Ukrops Dr
Willaimsburg, VA 23185
Fax (757) 221-3412
Mailing address
PO Box 399
Williamsburg, VA 23187-0399
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | 0126000453 (VA) |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1710184809
Renee A. Cork, ATC's National Provider Identifier is 1710184809, issued on Jul 2, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Willaimsburg, VA. The record was last updated on Jul 8, 2007.