Individual
THOMAS P BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS PT ATC
Contact information
Practice address
4000 S EASTERN AVE, 300, LAS VEGAS, NV 89119-0824
(702) 734-2732
(702) 737-1453
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0079
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548276314
—
NV
01
—
V105812
MEDICARE PTAN
—
Enumeration date
07/31/2006
Last updated
09/03/2015
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