Individual
BROOKE ANN HANNERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, ATC, OTC
Contact information
Practice address
2990 LOMITA BLVD UNIT B, TORRANCE, CA 90505-5102
(310) 546-3461
Mailing address
21801 DEWEY AVE, TORRANCE, CA 90503-6871
(424) 232-4074
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
CA
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/13/2017
Last updated
08/28/2024
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