Individual
BROOKE A. MAWERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
515 W WASHINGTON ST, GENEVA, NY 14456-2117
(315) 781-1010
(315) 781-1722
Mailing address
515 W WASHINGTON ST, GENEVA, NY 14456-2117
(315) 781-1010
(315) 781-1722
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
038468-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12778279
CAQH
NY
Enumeration date
12/03/2014
Last updated
09/16/2015
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