Individual
MR. TRACY CALHOUN BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LOTR
Contact information
Practice address
2409 ARKANSAS RD, WEST MONROE, LA 71291-8611
(318) 396-2044
(318) 396-2204
Mailing address
2409 ARKANSAS RD, WEST MONROE, LA 71291-8611
(318) 396-2044
(318) 396-2204
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
Z11700
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ACS PROVIDER NUMBER
FED WORK COMP PROVIDER #
LA
Enumeration date
08/14/2006
Last updated
07/08/2007
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