Individual
BROOKE ADKISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
4208 RETAMA CIR, VICTORIA, TX 77901-2765
(361) 582-0611
(361) 582-4978
Mailing address
409 MEAD RD, VICTORIA, TX 77904-1334
(361) 212-6886
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210484
TX
Other
Enumeration date
08/12/2011
Last updated
08/12/2011
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