Individual
BROOKE MICHELE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(855) 492-8878
Mailing address
101 MARTOWICZ COURT, PO BOX 575, MILL RIFT, PA 18340-0575
(570) 491-4591
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
008018-1
NY
224Z00000X
Occupational Therapy Assistant
Primary
46TA09095800
NJ
Other
Enumeration date
02/16/2012
Last updated
11/11/2013
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