Individual
MRS. BROOKE MARIE LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3375 LAKE RIDGE DR, DUBUQUE, IA 52003-7864
(563) 207-8932
Mailing address
963 HEATHER DR, PEOSTA, IA 52068-9452
(563) 513-8819
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001418
IA
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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