Individual
BROOKE KENWORTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
64444 FRANKFORT RD., SALESVILLE, OH 43778
(740) 679-2111
Mailing address
64444 FRANKFORT RD., SALESVILLE, OH 43778
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA05241
OH
Other
Enumeration date
09/03/2008
Last updated
03/19/2014
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