Organization
ORTHOSPORT GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KERRIE JEAN BROOKS DPT, ATC (PRESIDENT/OWNER)
(561) 630-0144
Entity
Organization
Contact information
Practice address
4360 NORTHLAKE BLVD, SUITE 208, PALM BEACH GARDENS, FL 33410-6274
(561) 630-0144
(561) 630-0145
Mailing address
4360 NORTHLAKE BLVD, SUITE 208, PALM BEACH GARDENS, FL 33410-6274
(561) 630-0144
(561) 630-0145
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT19952
FL
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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