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Individual

BROOKE DIANNE HENDRICKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9844 S 1300 E STE 200, SANDY, UT 84094-4689
(801) 572-0690
Mailing address
703 W 12260 S, DRAPER, UT 84020-1658
(949) 290-3476

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14237442-2401
UT

Other

Enumeration date
05/01/2026
Last updated
05/01/2026
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