Individual
BROOKE RENEE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
105 S FIRST ST, WILMINGTON, IL 60481-8973
(815) 476-5210
(815) 476-1080
Mailing address
350 N WALL ST, KANKAKEE, IL 60901-2901
(815) 935-7514
(815) 935-7069
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160003870
IL
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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