Individual
BROOKE NICOLE FISHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA/L
Contact information
Practice address
203 N EAST ST, HUDSON, IL 61748-9434
(309) 287-3180
(309) 454-4594
Mailing address
203 N EAST ST, HUDSON, IL 61748-9434
(309) 287-3180
(309) 454-4594
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.005453
IL
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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