Individual
BROOKE BOCKBRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
27 ST LAWRENCE DR STE 104, TIFFIN, OH 44883-8313
(419) 455-8600
Mailing address
6921 COUNTY ROAD 107, GIBSONBURG, OH 43431-9536
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
016076
OH
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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