Individual
BROOKE NICOLE MCINTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5917 BROADWAY, SAN ANTONIO, TX 78209-5235
(210) 253-3450
(210) 477-1037
Mailing address
7505 N LOOP 1604 E STE 101, LIVE OAK, TX 78233-2604
(210) 590-4000
(210) 590-4585
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25516
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F517
BLUE CROSS OF MARYALND
MA
Enumeration date
06/16/2015
Last updated
07/01/2021
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