Individual
BROOKE NICOLE BEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4299
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508387523
—
AR
Enumeration date
06/29/2017
Last updated
11/09/2017
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