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Individual

MRS. PATRICIA ANN BROOKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
213880
TX
224Z00000X
Occupational Therapy Assistant
Primary
2849
TN
224Z00000X
Occupational Therapy Assistant
OTA002018
GA

Other

Enumeration date
02/06/2018
Last updated
02/06/2018
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