Elizabeth Corcoran, | |
123 Chestnut Cir, Randolph, MA 02368-2957 | |
(571) 275-2043 | |
Not Available |
Full Name | Elizabeth Corcoran |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 123 Chestnut Cir, Randolph, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003356676 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 16809 (Massachusetts) | Primary |
Provider Name | Functional Therapy And Rehab Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1467809202 PECOS PAC ID: 6608169149 Enrollment ID: O20160721001574 |
Mailing Address | Practice Location Address |
---|---|
Elizabeth Corcoran, 123 Chestnut Cir, Randolph, MA 02368-2957 Ph: (571) 275-2043 | Elizabeth Corcoran, 123 Chestnut Cir, Randolph, MA 02368-2957 Ph: (571) 275-2043 |
Mr. Kevin Serus, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 26 S Main St, Randolph, MA 02368 Phone: 781-961-9200 Fax: 781-961-6599 | |
Jeremy Lichtman, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 26 S Main St, Randolph, MA 02368 Phone: 781-961-9200 Fax: 781-961-6599 | |
Veronica Schlegel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 535 South Main St, , 2nd Floor, Randolph, MA 02368 Phone: 781-961-3370 | |
Ashley Madeiros, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 26 S Main St, Randolph, MA 02368 Phone: 781-961-9200 | |
Emily St. Pierre, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 63 S Main St, Randolph, MA 02368 Phone: 781-961-9200 Fax: 781-961-6599 | |
Mark Powicki, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 63 S Main St, Randolph, MA 02368 Phone: 781-961-4460 |