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Individual

MR. BRAD DOUGLAS COSNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPTA

Contact information

Practice address
4911 SW 19TH ST, DES MOINES, IA 50315-4487
(515) 285-2559
(515) 285-6487
Mailing address
4911 SW 19TH ST, DES MOINES, IA 50315-4487
(515) 285-2559
(515) 285-6487

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001201
IA

Other

Enumeration date
05/24/2013
Last updated
05/24/2013
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