Individual
COURTNEY BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2525 N GRANDVIEW AVE STE 400, ODESSA, TX 79761-1621
(432) 550-4700
Mailing address
2525 N GRANDVIEW AVE STE 400, ODESSA, TX 79761-1621
(432) 550-4700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3115098
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8TAE47
BCBSTX
TX
Enumeration date
05/21/2014
Last updated
07/22/2015
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