Individual
STEPHANIE LYNN BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.T.C.
Contact information
Practice address
2727 LEO HARRIS PKWY, EUGENE, OR 97401-8835
(541) 346-5515
Mailing address
2256 OHIO ST, EUGENE, OR 97402-1024
(541) 607-8859
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-AT-892259
OR
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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