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Individual

BRANDT CORCRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
502 N 9TH AVE, VINTON, IA 52349-2254
(319) 472-6200
Mailing address
912 A AVE, VINTON, IA 52349-1345
(319) 929-4708

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
092387
IA

Other

Enumeration date
07/18/2018
Last updated
11/06/2020
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