Individual
MS. DEBRA ANN CORCORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
10000 W 75TH ST, SUITE 121, OVERLAND PARK, KS 66204-2209
(913) 362-7518
Mailing address
5718 NW RAINTREE DR, PARKVILLE, MO 64152-3368
(816) 416-0123
(816) 437-8561
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
MO
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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