Individual
MARY BETH CORCORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
175 SHERMAN AVENUE, NEW HAVEN, CT 06413
(203) 789-3271
Mailing address
175 SHERMAN AVENUE, NEW HAVEN, CT 06413
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002943
CT
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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