BROOKE WALLACE

JONESBORO, AR
NPI1477020659
Former NameBROOKE TURNER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: AR  OT-A1418)
Enumeration Date2018-10-25
Last Update Date2021-05-20
Business Address
BROOKE WALLACE COTA/L
1699 RED WOLF BLVD
JONESBORO, AR 72401-5442
Phone number: 870-336-0021
Mailing Address
BROOKE WALLACE COTA/L
313 NATCHEZ DR
JONESBORO, AR 72404-9104
Phone number: 870-253-9293