Individual
MS. BROOKE ELLEN CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
907 GARWOOD ST, SMITHVILLE, TX 78957-1117
(512) 237-4606
Mailing address
2518 CARLOW DR, AUSTIN, TX 78745-4328
(832) 385-4762
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2121713
TX
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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