Individual
BROOKE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3806 AMELIA AVE, LAFAYETTE, IN 47905-5772
(765) 807-2773
(765) 807-2774
Mailing address
PO BOX 4699, LAFAYETTE, IN 47903-4699
(765) 449-2732
(765) 449-1196
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002702A
IN
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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