| NPI | 1649794256 |
|---|---|
| Former Name | ABBEY ELIZABETH CORCORAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 8649) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: SC 8649) |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2019-05-03 |