Individual
TROY CORCORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
581 LIGHTHOUSE AVE, PACIFIC GROVE, CA 93950-2646
(831) 657-0177
Mailing address
581 LIGHTHOUSE AVE, PACIFIC GROVE, CA 93950
(831) 657-0177
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
11110
CA
Other
Enumeration date
03/26/2017
Last updated
03/26/2017
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