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Individual

ERICA BEA BROOK

Active
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Individual

ERICA BEA BROOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT 38622
CA
225100000X
Physical Therapist
Primary
PT60592722
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PT38622
PHYSICAL THERAPIST
CA
01
PT60592722
PHYSICAL THERAPIST
WA
Enumeration date
01/23/2012
Last updated
07/19/2022
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