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NPI Code Detail

MEDICARE: CHRISTI BROOKS

MEDICARE:   CHRISTI  BROOKS
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
1225X00000XOccupational Therapist103270MN

General Provider Information

NPI Number : 1205245156
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTI BROOKS
Provider Business Mailing Address
First Line : 321 6TH ST NE
Second Line :
City : CHISHOLM
State : MN
Zip : 55719-1287
Country : US
Telephone Number : 218-254-5765
Fax Number : 218-254-5767
Provider Business Practice Location Address
First Line : 321 6TH ST NE
Second Line :
City : CHISHOLM
State : MN
Zip : 55719-1287
Country : US
Telephone Number : 218-254-5765
Fax Number : 218-254-5767
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2014
Last Update Date : 08/05/2014

Similar Medicare Providers

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1467972653 — MICHAEL JOSEPH MITCHELL PT
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Directions to “ CHRISTI BROOKS ” Practice Location

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