# BERKELEY VANDYKE CORCORAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1407363328
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 040.0134281 | VT | — |
| 225100000X | Physical Therapist | 048415-01 | NY | — |
| 225100000X | Physical Therapist | 05014519A | IN | — |
| 225100000X | Physical Therapist | 15718-24 | WI | — |
| 225100000X | Physical Therapist | PT013456 | GA | Yes |
| 225100000X | Physical Therapist | PT019545 | OH | — |
| 225100000X | Physical Therapist | PT030293 | PA | — |
| 225100000X | Physical Therapist | PT200001193 | DC | — |
| 225100000X | Physical Therapist | PT5928 | ME | — |

## Other

- **Enumeration date:** 12/30/2017
- **Last updated:** 03/31/2022