| NPI | 1467717868 |
|---|---|
| Former Name | BROOKE JEAN LOVE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT025214) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VT 0400086262) |
| 225100000X Physical Therapist (Licence: AZ LPT-010681) | |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2022-10-17 |