Individual
MRS. LISA ANN BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
507 WILL LN, FORSYTH, IL 62535-8980
(217) 412-9312
(217) 875-0094
Mailing address
507 WILL LN, FORSYTH, IL 62535-8980
(217) 412-9312
(217) 875-0094
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056005528
IL
Other
Enumeration date
02/14/2007
Last updated
04/26/2019
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