Individual
JAYME BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
308 W WALNUT ST, CENTERVILLE, IN 47330-1141
(765) 439-0513
Mailing address
308 W WALNUT ST, CENTERVILLE, IN 47330-1141
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002188A
IN
Other
Enumeration date
05/14/2014
Last updated
05/14/2014
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