Organization
BROOKFIELD PHYSICAL THERAPY,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAVERLY ANN DIXON P.T. (OWNER/PRESIDENT)
(660) 258-7892
Entity
Organization
Contact information
Practice address
223 N MAIN ST, BROOKFIELD, MO 64628-1628
(660) 258-7892
(660) 258-9829
Mailing address
223 N MAIN ST, BROOKFIELD, MO 64628-1628
(660) 258-7892
(660) 258-9829
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
MO
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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