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Individual

ERIN CORCORAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
24909 104TH AVE SE STE 103, KENT, WA 98030-2819
(253) 850-8163
(253) 850-8164
Mailing address
24909 104TH AVE SE STE 103, KENT, WA 98030-2819
(253) 850-8163
(253) 850-8164

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
MA60055129
WA
225700000X
Massage Therapist
Primary
MA 60055129
WA

Other

Enumeration date
02/04/2009
Last updated
05/07/2009
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