Individual
CARLY ANN BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1067 W WASATCH, SPRING ROAD, UT 84036
(206) 795-4360
Mailing address
PO BOX 683745, PARK CITY, UT 84068-3745
(206) 795-4360
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10781982-2401
UT
225100000X
Physical Therapist
PT 39977
CA
Other
Enumeration date
03/18/2013
Last updated
02/23/2021
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