Individual
MRS. JEANNINE BROOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
401 W POPLAR ST, WALLA WALLA, WA 99362-2846
(509) 897-3320
(509) 897-5752
Mailing address
401 W POPLAR ST, WALLA WALLA, WA 99362-2846
(509) 897-3320
(509) 897-5752
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00002682
WA
225100000X
Physical Therapist
00646
OR
Other
Enumeration date
01/09/2017
Last updated
01/12/2017
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