Individual
BROOKE NICOLE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
189 MONICA BLVD, LYNCHBURG, VA 24502-2213
(434) 847-2860
Mailing address
2672 W PERCH RD, MONROE, VA 24574-2993
(434) 401-5960
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001378
VA
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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