Individual
COREY STAUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6 DRAWBRIDGE DR, WEST WARWICK, RI 02893-5579
(401) 524-5417
Mailing address
6 DRAWBRIDGE DR, WEST WARWICK, RI 02893-5579
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3190437
RI
Other
Enumeration date
12/20/2014
Last updated
12/20/2014
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