Individual
MS. BROOKE KATHLEEN GENTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT
Contact information
Practice address
1023 6TH AVE SW, ALBANY, OR 97321-1917
(541) 926-8664
Mailing address
1356 SW TIMIAN ST, CORVALLIS, OR 97333-3933
(541) 231-9938
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/22/2008
Last updated
02/22/2008
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