Individual
DIANA W BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
10400 IRON BRIDGE RD, CHESTER, VA 23831-1427
(804) 796-1518
(804) 796-1543
Mailing address
PO BOX 69030, BALTIMORE, MD 21264-9030
(757) 873-2302
(757) 873-2306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305205128
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043401169
—
VA
01
—
192935
BCBS (PHYSICAL THERAPY)
VA
01
—
7048994
AETNA
VA
01
—
P00412008
RAILROAD MEDICARE
VA
Enumeration date
08/05/2007
Last updated
04/13/2018
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