Individual
BROOKE TREADWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 11 MILE RD NE, ROCKFORD, MI 49341-9111
(616) 334-4773
Mailing address
3100 11 MILE RD NE, ROCKFORD, MI 49341-9111
(616) 334-4773
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
08/08/2016
Last updated
08/08/2016
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