Individual
ALYSSA CORCORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
221 MAHALANI ST, WAILUKU, HI 96793-2526
(808) 244-9056
Mailing address
7116 DORNOUGH LN, BRADENTON, FL 34202-4004
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
32836
FL
Other
Enumeration date
06/18/2022
Last updated
06/18/2022
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