Individual
BROOKE BRALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8355 US HIGHWAY 277, ELGIN, OK 73538-2207
(580) 492-1112
Mailing address
3910 NE CACHE RD, LAWTON, OK 73507-6204
(580) 512-2013
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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