Individual
BROOKE DAVIDSON
Active
Individual
BROOKE DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT015387
GA
225700000X
Massage Therapist
MT009167
GA
Other
Enumeration date
11/27/2014
Last updated
07/15/2021
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