NPI 1154872356

Greg Brooks

Practitioner Physical Therapy Assistant Lawrenceville, GA

Practice location

Address: 2899 Five Forks Trickum Rd, Lawrenceville, GA 30044-5803
Phone: (678) 697-9046

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA003286 (GA)

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Registry record

NPI: 1154872356
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Oct 2016
Record last updated: 22 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.