Individual
SHANNON CORCORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
16782 VON KARMAN AVE STE 11, IRVINE, CA 92606-2417
(650) 219-2947
Mailing address
16782 VON KARMAN AVE STE 11, IRVINE, CA 92606-2417
(650) 219-2947
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
16441
CA
Other
Enumeration date
08/04/2016
Last updated
08/04/2016
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