Individual
JAMIE BROKAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1420 MCCREARY RD, WYLIE, TX 75098-8776
(972) 442-6776
Mailing address
3020 LENA DR, WYLIE, TX 75098-8908
(972) 322-9200
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1183760
TX
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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