Provider Demographics
NPI:1447868666
Name:PFLUM, BROOKE MARIAH
Entity type:Individual
Prefix:
First Name:BROOKE
Middle Name:MARIAH
Last Name:PFLUM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BROOKE
Other - Middle Name:MARIAH
Other - Last Name:KLONTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:700 E 5TH ST APT 419
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50309-5425
Mailing Address - Country:US
Mailing Address - Phone:507-841-2522
Mailing Address - Fax:
Practice Address - Street 1:3770 8TH ST SW STE J
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:IA
Practice Address - Zip Code:50009-1048
Practice Address - Country:US
Practice Address - Phone:515-967-5025
Practice Address - Fax:515-967-2360
Is Sole Proprietor?:No
Enumeration Date:2020-07-14
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225X00000X
IA099971225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist