Individual
BROOKE COLBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8592 ROSWELL RD, ATLANTA, GA 30350-1865
(706) 869-4501
Mailing address
8592 ROSWELL ROAD, ATLANTA, GA 30350
(706) 869-4501
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
000771
GA
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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