Individual
BROOKE FARON BENTLEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2629 DEL PRADO BLVD S, CAPE CORAL, FL 33904-5769
(941) 742-9270
Mailing address
2629 DEL PRADO BLVD S, CAPE CORAL, FL 33904-5769
(941) 742-9270
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ12550
FL
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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