Douglas Brooks
Physical Therapy Assistant in Chehalis, WA. Individual provider (NPI-1).
NPI number1619087020
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1619087020
- Entity type
- Individual (NPI-1)
- Name
- Douglas Brooks
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | – | – | Yes |
Practice location
145 S Market BlvdChehalis, WA 98532-3037
Phone 360-748-1580
Mailing address
204 Winston Creek RdMossyrock, WA 98564-9648
Phone 360-985-0664
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