Individual
BROOKSIE EDQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
321 GARLAND DR, LAKE JACKSON, TX 77566-6238
(979) 297-3365
(979) 297-3541
Mailing address
321 GARLAND DR, LAKE JACKSON, TX 77566-6238
(979) 297-3365
(979) 297-3541
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
100460
TX
Other
Enumeration date
08/11/2009
Last updated
08/11/2009
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