Individual
BROOKE LOERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-4141
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 316-4844
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1325826
TX
2251P0200X
Pediatric Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
273955978
TAX ID
—
Enumeration date
12/09/2019
Last updated
05/20/2021
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