Individual
JAMES P. CORCORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
NAVAJO ROUTE 4, PINON, AZ 86510
(928) 725-3220
(928) 725-3613
Mailing address
PO BOX PH, CHINLE, AZ 86503-8000
(928) 674-7166
(928) 674-7705
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23976
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23976
STATE LICENSE
MD
Enumeration date
05/04/2015
Last updated
05/04/2015
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