Individual
MR. BROOKS MANSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1011 PORTERS NECK RD, WILMINGTON, NC 28411-9196
(910) 319-7440
Mailing address
200 LOOSESTRIFE CT APT 301, WILMINGTON, NC 28411-7736
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5445
NC
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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