Individual
MRS. PATRICIA ANN BROOKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
922 LEACREST AVE, MEMPHIS, TN 38109
Mailing address
922 LEACREST AVE, MEMPHIS, TN 38109-8756
(770) 670-3763
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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