Lilah Brockman, PTA

NPI #1467979120 in Bloomer, Wisconsin

Provider Information

NPI Number: 1467979120
Entity Type: Individual
Name: Lilah Brockman, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Aug 24, 2017
Last Updated: Aug 24, 2017

Practice Location

Address: 1731 17TH AVE
City: Bloomer
State: Wisconsin
ZIP Code: 54724-1512
Phone: (715) 568-4669

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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