Individual
BROOKE CONDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
24 TEKE BURTON DR, MITCHELL, IN 47446-7360
(812) 849-2221
Mailing address
2071 N STATE ROAD 37, PAOLI, IN 47454-9704
(812) 849-2221
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001598A
IN
Other
Enumeration date
04/10/2008
Last updated
04/11/2008
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