ABIGAIL RAE BROCKHOUSE
Individual Provider (NPI-1)
Active
Specialist/Technologist, Athletic Trainer
Provider Information
- NPI Number
1831764588- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 308 WARHAWK WAY, MONROE, LA, 712092715
- Phone
- (318) 342-3565
Specialties & Taxonomies
Specialist/Technologist, Athletic Trainer
Primary License: LA #328489