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Brooke Blackburn, LPTA

NPI 1437391729 · on the registry since 2009 · sole proprietor

Practice

Address
1167 E Sycamore St
Vincennes, IN 47591
Phone
(812) 890-9417

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-04-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana