Justin Corcoran, MSA, ATC, LAT

NPI 1487050902 · on the registry since 2014 · sole proprietor

Practice

Address: 68 River Rd
Summit, NJ 07901
Phone: (201) 277-0800
Organisation at this address: Revivify Llc
Professional Occupational & Physical Therapy, Pllc
Professional Orthopedic And Sports Physical Therapy Of Nj, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: Athletic Trainer
2255A2300X
Also registered as: Athletic Trainer
Licence states on file: NY, NJ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-11-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey