Individual
BROOKE OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
219 INDUSTRIAL PARK ST, GORDO, AL 35466-2068
(205) 364-1003
(205) 364-1006
Mailing address
251 JOHNSTON ST SE STE 300, DECATUR, AL 35601-2515
(256) 340-9708
(256) 340-9624
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH7493
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003819608
GROUP NPI
AL
05
—
529917620
—
AL
Enumeration date
02/12/2015
Last updated
02/12/2015
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