Individual
ELIZABETH CORCORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 CHESTNUT CIR, RANDOLPH, MA 02368-2957
(571) 275-2043
Mailing address
123 CHESTNUT CIR, RANDOLPH, MA 02368-2957
(571) 275-2043
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16809
MA
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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