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TROY CORCORAN LPTA

>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1811428352

Individual Registrant:
 TROY  CORCORAN LPTA
Gender: M
Not Sole Proprietor

Location and contact information for practice:
581 LIGHTHOUSE AVE  PACIFIC GROVE, CA 93950-2646 US
Tel: 831-657-0177  Fax: --

Contact information for business:
581 LIGHTHOUSE AVE  PACIFIC GROVE, CA 93950 US
Tel: 831-657-0177  Fax: --

Registration Information:
NPI: 1811428352
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
CA11110

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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