Brady W Corse, ATC/L
Specialist/Technologist, Athletic Trainer in Vancouver, WA. Individual provider (NPI-1).
NPI number1275809709
StatusActive
Last updated in NPPESMar 29, 2012
Details
- NPI
- 1275809709
- Entity type
- Individual (NPI-1)
- Name
- Brady W Corse
- Credential
- ATC/L
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2012
- Last updated
- Mar 29, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 60068895 | WA | Yes |
Practice location
200 Ne Mother Joseph PlaceSuite 100
Vancouver, WA 98664
Phone 360-514-2048
Mailing address
200 Ne Mother Joseph PlaceSuite 100
Vancouver, WA 98664
Phone 360-514-2048 · Fax 360-514-5033
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