Individual
JENNIFER C BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
15 GLOUCESTER AVE, GLOUCESTER, MA 01930-2560
(978) 290-1859
Mailing address
15 GLOUCESTER AVE, GLOUCESTER, MA 01930-2560
(978) 290-1859
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3476
MA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/06/2019
Last updated
09/17/2020
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