Individual
DR. BRENT HOWARD CORUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
540 E JEFFERSON ST STE 302, IOWA CITY, IA 52245-2460
(319) 339-3611
(319) 339-3878
Mailing address
2401 TOWNCREST DR, IOWA CITY, IA 52240-6631
(319) 354-2429
(319) 338-5775
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
083668
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06-65463
—
IA
Enumeration date
02/03/2017
Last updated
10/03/2017
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