Individual
BROOKE SCHMOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
619 S MARION AVE, LAKE CITY, FL 32025-5808
(386) 755-3016
Mailing address
439 ROHRMANN RD, DARLINGTON, PA 16115-2007
(724) 714-3884
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
64246
PA
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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