Individual
MRS. JENNIFER NEWSOM BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2680 OLD PLANTATION DR SW, CONCORD, NC 28027-8846
(704) 786-5019
Mailing address
2680 OLD PLANTATION DR SW, CONCORD, NC 28027-8846
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7323
NC
Other
Enumeration date
02/27/2012
Last updated
02/27/2012
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