Individual
BROOKE PETKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8501 WILSHIRE BLVD STE 336, BEVERLY HILLS, CA 90211-3134
(424) 239-7817
Mailing address
5608 ERLANGER RD, KENNER, LA 70065-1564
(504) 615-2133
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11483
LA
225100000X
Physical Therapist
Primary
307551
CA
Other
Enumeration date
01/13/2025
Last updated
02/11/2025
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