Individual
SEAN CORCORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7407 WILLOW RD, FREDERICK, MD 21702-2500
(301) 644-5600
Mailing address
1601 BERRY ROSE CT APT G, FREDERICK, MD 21701-9041
(443) 823-1970
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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