Provider / Organization | NPI | Date Certified |
---|---|---|
BROOKE HENRY | 1366206054 | 2024-03-10 |
Brooke Henry is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1366206054. Registration indicates Brooke Henry is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Occupational Therapist (Occupational Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
Entity Type | Individual |
Provider Name | Brooke Henry |
Practice Office Address | 13223 BLACK MOUNTAIN RD # 1508 SAN DIEGO, CA US |
Practice Office Telephone | 8058271990 |
Mailing Address | 13223 BLACK MOUNTAIN RD # 1508 SAN DIEGO, CA 921292698 US |
Code | Practice | License No State |
---|---|---|
225X00000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist Occupational Therapist Speech/Occupational/Physical Therapy/Chiropractor Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers |