Individual
MRS. JENNIFER SUE BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5151 COUNTY ROAD 15, MARENGO, OH 43334-9619
(740) 501-3582
Mailing address
5151 COUNTY ROAD 15, MARENGO, OH 43334-9619
(740) 501-3582
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
PN 128383
OH
224Z00000X
Occupational Therapy Assistant
Primary
OTA006638
OH
Other
Enumeration date
01/05/2009
Last updated
09/18/2019
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