Individual
BROOKE WOODSIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2103 N VETERANS PKWY STE 328, BLOOMINGTON, IL 61704-0919
(309) 948-6469
Mailing address
PO BOX 416501, BOSTON, MA 02241-6501
(914) 294-4050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/07/2022
Last updated
01/18/2024
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