Individual
BROOKE DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13985 COUNTY ROAD 763, ESSEX, MO 63846-7158
(573) 625-3726
Mailing address
13985 COUNTY ROAD 763, ESSEX, MO 63846-7158
(573) 625-3726
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
2016037382
MO
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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