Individual
MS. BROOKE GERATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, ATC
Contact information
Practice address
1701 E COLLEGE AVE, BLOOMINGTON, IL 61704-2101
(309) 664-3420
(309) 664-3432
Mailing address
2200 E. WASHINGTON, BLOOMINGTON, IL 61701
(309) 664-3420
(309) 664-3422
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070012364
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113326
HEALTHLINK PROV ID
—
01
—
203
BLUE CROSS PROV ID
IL
01
—
4117
HAMP PROVIDER ID
IL
01
—
7216
PERSONALCARE PROV ID
—
Enumeration date
03/23/2007
Last updated
09/06/2012
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