Individual
BROOK HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, OCS
Contact information
Practice address
975 PORT WASHINGTON RD, SUITE 210, GRAFTON, WI 53024-9201
(262) 329-2700
(262) 329-2701
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5175
WI
2251X0800X
Orthopedic Physical Therapist
5175-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100053032
—
WI
Enumeration date
05/07/2013
Last updated
02/18/2025
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