Individual
BROOKE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
157 ROSS CARTER BLVD, DUFFIELD, VA 24244-5116
(276) 431-2841
Mailing address
411 TOLL BRANCH RD, JOHNSON CITY, TN 37601-5388
(423) 440-0763
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119009850
VA
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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