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1679976302
MICHAEL CORCORAN
PHILADELPHIA, PA
NPI
1679976302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: PA TE1003297)
Enumeration Date
2014-10-08
Last Update Date
2014-10-08
Business Address
MICHAEL CORCORAN PTA
8148 MORO ST
PHILADELPHIA, PA 19136-2620
Phone number: 215-680-8645
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Mailing Address
MICHAEL CORCORAN PTA
8148 MORO ST
PHILADELPHIA, PA 19136-2620
Phone number:
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