Individual
BROOKE KAITLYN NILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
6520 N IRWINDALE AVE STE 100, IRWINDALE, CA 91702-2801
(626) 812-0366
Mailing address
17735 BIG SKY CIR, PERRIS, CA 92570-7174
(951) 956-5126
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
298407
CA
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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