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TROY CORCORAN LPTA
>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1811428352
Individual Registrant: TROY CORCORAN LPTA
Gender: M
Not Sole Proprietor
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: --
Tel: 831-657-0177 Fax: --
Contact information for business:
581 LIGHTHOUSE AVE PACIFIC GROVE, CA 93950 US
Tel: 831-657-0177 Fax: --
Tel: 831-657-0177 Fax: --
Registration Information:
NPI: 1811428352
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapy Assistant | CA | 11110 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
