Individual
BROOKE DERBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 ALBER ST, WABASH, IN 46992-1015
(260) 569-5480
(260) 569-5485
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05012117A
IN
Other
Enumeration date
04/01/2026
Last updated
04/23/2026
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