Individual
CORY R CORCORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10133 SHERRILL BLVD, KNOXVILLE, TN 37932-3347
(865) 210-8374
Mailing address
8104 SPRINGTREE RD, JACKSONVILLE, FL 32210-4536
(904) 568-4182
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00323800
NJ
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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