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Individual

ANGELA FOWLER BROOKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHYSICAL THERAPIST

Contact information

Practice address
13939 KIMBLETON AVE, BATON ROUGE, LA 70817-4773
(225) 315-2413
(225) 751-2115
Mailing address
13939 KIMBLETON AVE, BATON ROUGE, LA 70817-4773
(225) 315-2413
(225) 751-2115

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2127
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1327191
LA
Enumeration date
01/30/2007
Last updated
07/09/2007
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