Individual
BROOKE BERKENPAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 9TH ST, ROCKFORD, IL 61104-2235
(779) 696-4590
Mailing address
209 9TH ST, ROCKFORD, IL 61104-2235
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.014982
IL
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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