Individual
BROOKE SIEBEL MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
1502 MONTANA AVE, SUITE 207, SANTA MONICA, CA 90403-1855
(310) 458-0898
Mailing address
554 WESTBOURNE DR, WEST HOLLYWOOD, CA 90048-1914
(310) 490-7817
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 32914
CA
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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