Individual
GEORGINA BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3130 MCINGVALE RD, HERNANDO, MS 38632-8795
(662) 501-6140
Mailing address
1769 CARLYLE RD, MEMPHIS, TN 38127-3943
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
01/11/2019
Last updated
01/15/2019
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