Individual
MR. CORY MICHAEL TOWNSEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AT
Contact information
Practice address
140 S HAMILTON RD, GAHANNA, OH 43230-2919
(614) 478-5500
Mailing address
8205 CHINOOK PL APT 2A, COLUMBUS, OH 43235-4462
(740) 816-7210
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
004099
OH
Other
Enumeration date
03/22/2014
Last updated
03/22/2014
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