Individual
MAUREEN BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
906 E 1ST ST, THIBODAUX, LA 70301-6701
(985) 448-4837
Mailing address
107 BAYOU RESERVE CT, THIBODAUX, LA 70301-9301
(317) 997-7572
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/03/2017
Last updated
06/03/2017
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