Individual
MRS. BROOKE NICOLE MANSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3702 COOK RD, MEDINA, OH 44256-9289
(330) 416-3388
Mailing address
3702 COOK RD, MEDINA, OH 44256-9289
(330) 416-3388
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
09109
OH
Other
Enumeration date
03/18/2016
Last updated
03/18/2016
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