| Doctor Name: | ANTOINETTE BROCKMAN |
| NPI Number: | 1154509271 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | O.T. |
| License Number: | 908779 |
| Business Practice Address: | 2200 Ne Neff Rd Suite 202 Bend, OR - 977014283 |
| Business Phone Number: | 5413887738 |
| Business Fax Number: | 5413120121 |
| Mailing Address: | Po Box 24988, SEATTLE |
| State: | WA |
| Postal Code: | 981240988 |
| Phone Number: | 8002198835 |
| Fax Number: | 5036399699 |
| NPI Enumeration Date: | 01/31/2008 |
| NPI Last Update Date: | 01/31/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 908779 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |