Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEZARAY NICOLE BROOKSHIRE
Active Sole ProprietorDEZARAY NICOLE BROOKSHIRE is a Developmental Therapist healthcare provider located in ELKHART, Illinois. NPI 1487306551 is currently active in the NPPES registry. Verify at CMS.
Developmental Therapist · ELKHART, IL
Registration Details
- NPI Number
- 1487306551
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 20, 2022 (4.5876904231401 yrs)
- Last Updated
- Jan 20, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
668 700TH STELKHART, IL, 626346055Browse IL providers · Browse ZIP 62634
- Phone
- 2172735345
- Primary Specialty
-
Developmental Therapist
222Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.