JOHN BROOME

TRINITY, NC
NPI1568802437
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NC  8726)
Enumeration Date2013-06-25
Last Update Date2013-06-25
Business Address
-- JOHN BROOME COTA/L
116 LANE DR
TRINITY, NC 27370-9343
Phone number: 336-431-8888
Mailing Address
-- JOHN BROOME COTA/L
136 MACKWOOD RD
MOORESVILLE, NC 28115-7819
Phone number:
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