Individual
MR. STEPHEN JOSEPH BROCKLEBANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
33 HIGHFIELD DR, SPORTS CENTER PHYSICAL THERAPY, FALMOUTH, MA 02540-2303
(508) 548-7491
Mailing address
PO BOX 1912, NORTH FALMOUTH, MA 02556-1912
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
11178
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
388229
EMDEON
—
Enumeration date
12/19/2006
Last updated
04/30/2008
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