Search › Pennsylvania › 2255A2300X
Brooke Havens, ATC, OTC
NPI 1780065847 · on the registry since 2015
Practice
- Address
- 1200 Constitution Ave
Suite 110
Philadelphia, PA 19112 - Phone
- (609) 204-0627
- Organisation at this address
- Vincera Rehab, Llc
Vincera Imaging Llc
Vincera Orthopedics
Independence Imaging, Llc
Vincera Surgery Center, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-06-15
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 Pennsylvania