Individual
MRS. JENNIFER LYNN BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
15 QUADE ST, GLENS FALLS, NY 12801-2724
(518) 792-1451
Mailing address
1049 W MOUNTAIN RD, QUEENSBURY, NY 12804-8217
(518) 743-1105
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
005547-1
NY
Other
Enumeration date
05/09/2011
Last updated
05/09/2011
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