Individual
BROOKE DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2315 CENTRAL AVE, AUGUSTA, GA 30904-6246
(706) 364-6172
(706) 364-6172
Mailing address
1632 WHITNEY ST, AUGUSTA, GA 30904-5210
(706) 414-1345
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008302
GA
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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