Provider Demographics
NPI:1457886905
Name:CORCINO, ALLISON (ATC)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:CORCINO
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:289 S. UNION
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44303
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1793 E WATERFORD CT
Practice Address - Street 2:APT 224
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44313-8367
Practice Address - Country:US
Practice Address - Phone:818-425-0355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-21
Last Update Date:2017-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAT. 0050912255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer