Most Relevant Information
Provider Data
| NPI Number: | 1003356676 |
| Provider Name: | ELIZABETH CORCORAN |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 16809 |
Most Important Dates
| Enumeration Date: | 03/02/2017 |
| Last Updated: | 03/02/2017 |
Provider Practice Location
123 CHESTNUT CIR
RANDOLPH
MA
023682957
Practice Location Phone/Fax
| Phone: | 5712752043 |
| Fax: |
Provider Mailing Location
123 CHESTNUT CIR
RANDOLPH
MA
023682957
Provider Mailing Phone/Fax
| Phone: | 5712752043 |
| Fax: |