Vicki D Corcoran, PTA

NPI #1962445163 in Fond Du Lac, Wisconsin

Provider Information

NPI Number
1962445163
Entity Type
Individual
Name
Vicki D Corcoran, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Jun 14, 2006
Last Updated
Aug 10, 2007

Practice Location

Address
421 CAMELOT DR
ZIP Code
54935
Phone
(920) 923-7940

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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