Individual
BRADY W CORSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC/L
Contact information
Practice address
200 NE MOTHER JOSEPH PLACE, SUITE 100, VANCOUVER, WA 98664
(360) 514-2048
Mailing address
200 NE MOTHER JOSEPH PLACE, SUITE 100, VANCOUVER, WA 98664
(360) 514-2048
(360) 514-5033
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
60068895
WA
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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