Individual
BROOKE EARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2610 ENTERPRISE DR, ANDERSON, IN 46013-9684
(217) 840-7784
Mailing address
2537 HARVEST MOON CT, ANDERSON, IN 46011-4754
(217) 840-7784
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002548A
IN
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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