Individual
SHALA BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
106 VOGEL CT, LEESBURG, GA 31763-3873
(706) 207-1985
Mailing address
106 VOGEL CT, LEESBURG, GA 31763-3873
(706) 207-1985
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005557
GA
Other
Enumeration date
08/27/2016
Last updated
08/27/2016
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