Individual
BROOKE FORTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1512 E 12TH AVE, TAMPA, FL 33605-3516
(305) 975-3594
Mailing address
1512 E 12TH AVE UNIT 206, TAMPA, FL 33605-3548
(305) 975-3594
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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