Healthcare Provider Details

I. General information

NPI: 1831246529
Provider Name (Legal Business Name): BROOKE D MAJORS LPTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 W LAKE PROFESSIONAL PARK SUITE5
GENEVA AL
36340-1203
US

IV. Provider business mailing address

1390 SARDIS RD
HARTFORD AL
36344-6612
US

V. Phone/Fax

Practice location:
  • Phone: 334-684-3919
  • Fax:
Mailing address:
  • Phone: 334-588-2107
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number23497
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: