Individual
BROOKE N JANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
375 S 11TH ST, CLINTON, IN 47842-1053
(765) 832-2491
Mailing address
577 E 200 S, ROCKVILLE, IN 47872-7041
(765) 562-3020
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004353A
IN
Other
Enumeration date
09/21/2019
Last updated
09/21/2019
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