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1689153728
BROOKE ELIZABETH TICE
LOUISVILLE, KY
NPI
1689153728
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OH PTA011736)
Enumeration Date
2018-08-09
Last Update Date
2018-08-09
Business Address
BROOKE ELIZABETH TICE
2701 CHESTNUT STATION CT
LOUISVILLE, KY 40299-6395
Phone number: 800-335-1060
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Mailing Address
BROOKE ELIZABETH TICE
3825 N LICKERT HARDER RD
GRAYTOWN, OH 43432-9721
Phone number: 419-262-1779
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