Individual
MS. BROOKE MARIE WHARTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2333 N BRENTWOOD CIR, LECANTO, FL 34461-8536
(352) 746-6600
Mailing address
2333 N BRENTWOOD CIR, LECANTO, FL 34461-8536
(352) 746-6600
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 15490
FL
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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