Individual
BROOKE VALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
324 S 4TH ST, WACO, TX 76701-2227
(254) 752-3451
Mailing address
PO BOX 890, WACO, TX 76703-0890
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
119054
TX
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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