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NPI Code Detail

MEDICARE: MS. CORIN SHIRLEY CPO

MEDICARE: MS. CORIN SHIRLEY CPO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1222Z00000XOrthotist
2224P00000XProsthetist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CPO04421OTHERAMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS, PROSTHETICS & PEDORTHICS
2CO005858OTHERAMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS, PROSTHETICS & PEDORTHICS, INC

General Provider Information

NPI Number : 1952878597
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CORIN SHIRLEY CPO
Provider Business Mailing Address
First Line : 433 NETWORK STA
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23320-3851
Country : US
Telephone Number : 757-892-5300
Fax Number : 757-892-5303
Provider Business Practice Location Address
First Line : 433 NETWORK STA
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23320-3851
Country : US
Telephone Number : 757-892-5300
Fax Number : 757-892-5303
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2018
Last Update Date : 03/12/2025

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Directions to “ MS. CORIN SHIRLEY CPO” Practice Location

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