Individual
ANTWON BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
410 E MACPHAIL RD, BEL AIR, MD 21014-4495
(410) 879-1120
Mailing address
4925 OLD COURT RD, RANDALLSTOWN, MD 21133-4628
(443) 392-1856
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A02583
MD
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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