Individual
DR. BROOKE R EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
1519 JEFFERSON ST, ROCHESTER, IN 46975-2613
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31007488A
IN
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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