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Individual

MR. DANIEL RAY BROOKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
C.PED

Taxonomy

Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
LPED122
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CPED3358
AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS, PROSTHETICS & PEDORTHICS
OK
Enumeration date
06/24/2010
Last updated
04/27/2012
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