Individual
MRS. ASHLEY ANN BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 W CONSTANCE RD, SUFFOLK, VA 23434-4413
(757) 539-8744
(757) 539-8764
Mailing address
4353 RUSTIC RD, CASTILE, NY 14427-9506
(716) 665-8723
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
0119004573
VA
225X00000X
Occupational Therapist
023911
NY
225X00000X
Occupational Therapist
029311
NY
225X00000X
Occupational Therapist
Primary
290311
NY
Other
Enumeration date
06/02/2008
Last updated
03/18/2022
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