Individual
BROOKE RAE THALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPEECH THERAPIST
Contact information
Practice address
2261 ENTERPRISE DR, ALAMOSA, CO 81101-3603
(717) 422-7540
Mailing address
2261 ENTERPRISE DR, ALAMOSA, CO 81101-3603
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SL014610
PA
235Z00000X
Speech-Language Pathologist
Primary
SLP.0006172
CO
Other
Enumeration date
07/23/2019
Last updated
12/03/2024
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