Individual
VANESSA BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, ATC
Contact information
Practice address
1901 MOONEY STREET, WINSTON-SALEM, NC 27103
(336) 713-6038
Mailing address
1901 MOONEY STREET, WINSTON-SALEM, NC 27103
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
—
—
2251S0007X
Sports Physical Therapist
Primary
P17407
—
2255A2300X
Athletic Trainer
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
RESPIRATORY, REHABILITATIVE & RESTORATIVE SERVICE PROVIDERS
GA
Enumeration date
08/24/2015
Last updated
07/18/2018
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