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Individual

BROOKE ELIN BEMIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
1262 BERGEN PKWY UNIT E10, EVERGREEN, CO 80439
(303) 674-7889
Mailing address
1262 BERGEN PKWY UNIT E10, EVERGREEN, CO 80439-9546
(303) 674-7889

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0013169
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1720339054
WA
Enumeration date
09/26/2012
Last updated
04/09/2019
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