Individual
MRS. BROOKE ANN FOULDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
2707 ASHMAN ST, MIDLAND, MI 48640-4449
(269) 547-9641
Mailing address
2707 ASHMAN ST, MIDLAND, MI 48640-4449
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
68207
MI
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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