Individual
SHONTIA WILLETTE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3118 WOLCOTT AVE, BALTIMORE, MD 21216-1223
(443) 540-4988
Mailing address
3118 WOLCOTT AVE, BALTIMORE, MD 21216-1223
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
215113
TX
224Z00000X
Occupational Therapy Assistant
Primary
A02507
MD
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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