Organization
BRAIN & BODY BOOST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER BRIM PT DPT (MANAGING OFFICER)
(708) 476-1884
Entity
Organization
Contact information
Practice address
4360 BRISTLELEAF LN, PROSPER, TX 75078-1218
(708) 476-1884
Mailing address
4360 BRISTLELEAF LN, PROSPER, TX 75078-1218
(708) 476-1884
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Enumeration date
09/25/2020
Last updated
09/28/2020
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