Individual
BRANDY CORZINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
704 W HIGH ST, EDWARDSVILLE, IL 62025-1533
(314) 956-7992
Mailing address
704 W HIGH ST, EDWARDSVILLE, IL 62025-1533
(314) 956-7992
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2002023135
MO
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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