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Organization

REBOUND PHYSICAL THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRADY W CORSE A.T.C (ATHLETIC TRAINER)
(360) 514-2048
Entity
Organization

Contact information

Practice address
200 NE MOTHER JOSEPH PL, SUITE G100, VANCOUVER, WA 98664-3299
(360) 514-2048
(360) 514-3155
Mailing address
11610 NW 27TH COURT, VANCOUVER, WA 98685

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-AT-707950
OR

Other

Enumeration date
04/06/2006
Last updated
08/22/2020
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