Provider Demographics
NPI:1235304262
Name:BROOKS-ANGLE, KERRIE JEAN (DPT)
Entity Type:Individual
Prefix:MRS
First Name:KERRIE
Middle Name:JEAN
Last Name:BROOKS-ANGLE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MS
Other - First Name:KERRIE
Other - Middle Name:JEAN
Other - Last Name:BROOKS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT, ATC
Mailing Address - Street 1:8371 N MILITARY TRL
Mailing Address - Street 2:SUITE 106
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33410-6300
Mailing Address - Country:US
Mailing Address - Phone:561-328-9298
Mailing Address - Fax:561-328-9348
Practice Address - Street 1:8371 N MILITARY TRL
Practice Address - Street 2:SUITE 106
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33410-6300
Practice Address - Country:US
Practice Address - Phone:561-328-9298
Practice Address - Fax:561-328-9348
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-30
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT199522251X0800X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic