Individual
BRANDEN MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, ATC
Contact information
Practice address
1509 FAIRMONT AVE, FAIRMONT, WV 26554-2135
(304) 363-0050
Mailing address
1509 FAIRMONT AVE, FAIRMONT, WV 26554-2135
(304) 363-0050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
000407805
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
02/11/2021
Last updated
08/02/2024
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