Individual
BROOKE MARIE MCADAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4 ROTHBURY CIR, VICTOR, NY 14564-1417
(585) 259-6164
Mailing address
4 ROTHBURY CIR, VICTOR, NY 14564-1417
(585) 259-6164
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
033951
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
033951
PHYSICAL THERAPY LICENSE
NY
Enumeration date
09/12/2011
Last updated
09/03/2014
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