Individual
BROOKE WASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
175 ROUTE 70 STE 19, MEDFORD, NJ 08055-2355
(609) 714-3378
Mailing address
3 HORNSBY DR, MARLTON, NJ 08053-1927
(609) 417-5042
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA02199000
NJ
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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