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Individual

MISS SARAH ELIZABETH BROCKMAN

Active
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Individual

MISS SARAH ELIZABETH BROCKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60339040
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1124463872
WA
05
2031109
WA
01
P01417685
RR MEDICARE PTAN
WA
Enumeration date
05/08/2013
Last updated
10/05/2023
About Stedi
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  • EDI platform