MR. Bradley C. Brush, A.T.C., C.S.C.S.
NPI #1013985613 in Carbondale, Illinois
Provider Information
- NPI Number
- 1013985613
- Entity Type
- Individual
- Name
- MR. Bradley C. Brush, A.T.C., C.S.C.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- A.T.C., C.S.C.S.
- Enumeration Date
- Mar 9, 2006
- Last Updated
- Dec 22, 2008
Practice Location
- Address
- 305 W JACKSON ST
- Address 2
- SUITE LL02
- City
- Carbondale
- State
- Illinois
- ZIP Code
- 62901-1474
- Phone
- (618) 549-0721
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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