Organization
ORTHOSPORT
Active
Other names
Ortho Sport Group
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KERRIE BROOKS DPT,ATC (CO OWNER)
(561) 328-9298
Entity
Organization
Contact information
Practice address
8371 N MILITARY TRL, #106, WEST PALM BEACH, FL 33410-6300
(561) 328-9298
(561) 328-9348
Mailing address
8371 N MILITARY TRL, #106, WEST PALM BEACH, FL 33410-6300
(561) 328-9298
(561) 328-9348
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
PT19952
FL
Other
Enumeration date
08/16/2011
Last updated
08/30/2011
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