Individual
BROOKE ROSE IRELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
10940 FAIRFAX BLVD STE D1, FAIRFAX, VA 22030-4301
(571) 321-5430
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1347568
TX
225100000X
Physical Therapist
14695
TN
225100000X
Physical Therapist
2022009472
MO
225100000X
Physical Therapist
65060
OR
225100000X
Physical Therapist
Primary
CP043999T
VA
225100000X
Physical Therapist
PT-5284
HI
225100000X
Physical Therapist
—
OR
Other
Enumeration date
09/03/2021
Last updated
06/19/2025
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