Individual
BROOKE MARIE TIMOTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3268 E OX BRG, EAGLE MOUNTAIN, UT 84005-4834
(208) 317-6278
Mailing address
3268 E OX BRG, EAGLE MOUNTAIN, UT 84005-4834
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12978
AZ
Other
Enumeration date
11/02/2017
Last updated
11/02/2017
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