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1255712261
BROOKE NICOLE MCINTOSH
SAN ANTONIO, TX
NPI
1255712261
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Former Name
BROOKE NICOLE JANICKY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MD 25516)
Enumeration Date
2015-06-16
Last Update Date
2021-07-01
Business Address
BROOKE NICOLE MCINTOSH DPT
5917 BROADWAY
SAN ANTONIO, TX 78209-5235
Phone number: 210-253-3450
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Mailing Address
BROOKE NICOLE MCINTOSH DPT
7505 N LOOP 1604 E STE 101
LIVE OAK, TX 78233-2604
Phone number: 210-590-4000
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