RANDALL GLENN BROOKS

GRANGER, IN
NPI1184660870
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05002570A)
Enumeration Date2006-06-21
Last Update Date2021-03-31
Business Address
Mr. RANDALL GLENN BROOKS PT
3221 BEACON PKWY STE 100
GRANGER, IN 46530-7196
Phone number: 574-647-2930
Mailing Address
Mr. RANDALL GLENN BROOKS PT
710 N NILES AVE
SOUTH BEND, IN 46617-1924
Phone number: 574-647-1610