Individual
MARRA BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHA, LAT, ATC
Contact information
Practice address
1601 S ANDREWS AVE, FORT LAUDERDALE, FL 33316-2509
(954) 522-3355
Mailing address
742 NW 3RD AVE, FORT LAUDERDALE, FL 33311-7459
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL3554
FL
Other
Enumeration date
12/07/2018
Last updated
12/07/2018
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