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Dr. Kenneth Joseph Corcoran, PT,DPT,SCS
Sports Physical Therapist in Charlotte, North Carolina
NPI 1508075334

Kenneth Joseph Corcoran is a Sports Physical Therapist based in Charlotte, NC and is specialized in Sports. Kenneth Joseph Corcoran practices in Charlotte, NC and has the professional credentials of PT,DPT,SCS. The NPI Number for Kenneth Joseph Corcoran is 1508075334 and holds a License No. 029027-1 (North Carolina).

The current practice location address for Kenneth Joseph Corcoran is 2826 Randolph Rd, Charlotte, NC and can be reached out via phone at 716-830-4866.

Location: 2826 Randolph Rd, Charlotte, NC, 28220-2512
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508075334
Provider Name
Kenneth Joseph Corcoran
Credential
PT,DPT,SCS
Provider Entity Type
Individual
Gender
Male
Address
2826 Randolph Rd, Charlotte, NC, 28220-2512
Phone Number
716-830-4866
Fax Number
Provider Enumeration Date
05/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
40QA01368400 01 NJ LICENSE NUMBER
029027-1 01 NY LICENSE NUMBER
18323 01 NC LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
2826 Randolph Rd
City
Charlotte
State
North Carolina
Zip
28211-1386
Phone Number
716-830-4866
Fax Number
person
Provider Business Mailing Address Details
Address
2826 Randolph Rd
City
Charlotte
State
North Carolina
Zip
28211-1386
Phone Number
716-830-4866
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Sports
Taxonomy
2251S0007X
License No.
029027-1 (New York)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
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