Individual
DIANA L. BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
73 KELLY RD, RED HOOK, NY 12571-1122
(845) 758-0660
Mailing address
73 KELLY RD, RED HOOK, NY 12571-1122
(845) 758-0660
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
011612-1
NY
2251P0200X
Pediatric Physical Therapist
Primary
011612-1
NY
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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