BERKELEY VANDYKE CORCORAN

DRAPER, UT
NPI1407363328
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: GA  PT013456)
Additional Taxonomies225100000X Physical Therapist
(Licence: VT  040.0134281)
225100000X Physical Therapist
(Licence: ME  PT5928)
225100000X Physical Therapist
(Licence: IN  05014519A)
225100000X Physical Therapist
(Licence: PA  PT030293)
225100000X Physical Therapist
(Licence: DC  PT200001193)
225100000X Physical Therapist
(Licence: WI  15718-24)
225100000X Physical Therapist
(Licence: NY  048415-01)
225100000X Physical Therapist
(Licence: OH  PT019545)
Enumeration Date2017-12-30
Last Update Date2022-03-31
Business Address
BERKELEY VANDYKE CORCORAN
65 E WADSWORTH PARK DR STE 230
DRAPER, UT 84020-8096
Phone number: 385-308-8034
Mailing Address
BERKELEY VANDYKE CORCORAN
474 LYTLE AVE SE
ATLANTA, GA 30316-1510
Phone number: 904-315-3896