Individual
DIANE ADELE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
294 W CARLOS AVE, HOLBROOK, AZ 86025-1846
(928) 524-2123
(928) 524-6367
Mailing address
294 W CARLOS AVE, P.O. BOX 668, HOLBROOK, AZ 86025-1846
(928) 524-2123
(928) 524-6367
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2006005274
MO
225100000X
Physical Therapist
6486
CA
225100000X
Physical Therapist
Primary
8621
AZ
Other
Enumeration date
08/03/2009
Last updated
08/28/2009
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