Individual
SHANIA BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RT
Contact information
Practice address
2123 S 20TH ST, PHILADELPHIA, PA 19145-3602
(215) 459-8988
Mailing address
2123 S 20TH ST, PHILADELPHIA, PA 19145-3602
(215) 459-8988
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
YO000953
PA
2278G0305X
Geriatric Care Certified Respiratory Therapist
YO000953
PA
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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