Individual
BROOKE E BENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
100 SHORELINE HIGHWAY, 210A, MILL VALLEY, CA 94941
(415) 388-5520
(415) 388-5503
Mailing address
3010 BEARD RD, NAPA, CA 94558-3442
(707) 255-8825
(707) 252-9325
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
20A14793
CA
208100000X
Physical Medicine & Rehabilitation Physician
51271
CO
208100000X
Physical Medicine & Rehabilitation Physician
DO170157
OR
Other
Enumeration date
04/01/2008
Last updated
10/21/2024
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