Individual
MRS. BROOKE POWERS SHOCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2030 HARPER AVE NW, LENOIR, NC 28645-4953
(828) 754-3888
Mailing address
2622 HENDERSON ST, HUDSON, NC 28638-9131
(828) 514-5643
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5149
NC
Other
Enumeration date
09/08/2013
Last updated
09/08/2013
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