Individual
MISS BROOKE MICHELLE BRESEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3637 150TH AVE, OTTUMWA, IA 52501-8138
(641) 777-1461
Mailing address
3637 150TH AVE, OTTUMWA, IA 52501-8138
(641) 777-1461
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
004801
IA
Other
Enumeration date
07/15/2011
Last updated
07/15/2011
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