Individual
BRAD EDWARD MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4317 MACCORKLE AVE SE, CHARLESTON, WV 25304-2503
(304) 925-0377
(304) 925-0461
Mailing address
4317 MACCORKLE AVE SE, CHARLESTON, WV 25304-2503
(304) 925-0377
(304) 925-0461
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002727
WV
Other
Enumeration date
02/25/2009
Last updated
02/25/2009
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