Individual
MS. BRILEE MADISON BROMLEY I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2865 E MAIN ST, HUMBOLDT, TN 38343
(731) 784-8405
Mailing address
4897 MIDDLEBURG ROAD, DECATURVILLE, TN 38329
(173) 154-9646
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3773
TN
Other
Enumeration date
02/05/2022
Last updated
02/05/2022
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