Individual
BROOKE MAKENZIE GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
821 N COLEMAN ST STE 160, PROSPER, TX 75078-2306
(972) 347-1111
Mailing address
821 N COLEMAN ST STE 160, PROSPER, TX 75078-2306
(972) 347-1111
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4063856
TX
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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