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NPI Code Detail

MEDICARE: ERICA MARIE BROOKS DPT

MEDICARE: ERICA MARIE BROOKS DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT026862PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PT026862OTHERPAPT LICENSE

General Provider Information

NPI Number : 1023500923
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA MARIE BROOKS DPT
Provider Business Mailing Address
First Line : 1311 MAMARONECK AVE STE 140
Second Line :
City : WHITE PLAINS
State : NY
Zip : 10605-5224
Country : US
Telephone Number : 914-294-4050
Fax Number : 631-760-8306
Provider Business Practice Location Address
First Line : 233 E KING ST STE 103
Second Line :
City : MALVERN
State : PA
Zip : 19355-2574
Country : US
Telephone Number : 484-318-7214
Fax Number : 484-318-7190
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2018
Last Update Date : 12/28/2022

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