| NPI | 1851913297 |
|---|---|
| Former Name | BROOKE FOSAAEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: PA OC016356) |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2020-05-07 |