Individual
MS. LOREN BROCKERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT NCTMB
Contact information
Practice address
135 W DOROTHY LN STE 116, KETTERING, OH 45429-1477
(937) 829-7521
Mailing address
135 W DOROTHY LN STE 116, KETTERING, OH 45429-1477
(937) 829-7521
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11800
OH
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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