Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 4489 | CO |
N | 2251S0007X | Physical Therapist - Sports | 4489 | CO |
N | 2251X0800X | Physical Therapist - Orthopedic | 4489 | CO |
NPI | 1215903349 |
---|---|
Provider Name | Ms. Bronwyn E. Brooks |
First Address | Englewood, CO 80110-2305 |
Second Address | Englewood, CO 80110-2305 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2006 |
Last Update Date | 08/07/2007 |