Individual
KELLY N CORCORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
339 E MAPLE ST, NORTH CANTON, OH 44720-2593
(330) 498-8200
Mailing address
4825 PENNFAIR ST APT D, COLUMBUS, OH 43214-1971
(412) 965-9378
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT009573
OH
Other
Enumeration date
01/26/2018
Last updated
05/23/2022
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