Brenda Sue Brockmeyer COTA

NPI 1073729752 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1073729752
Gender Female
Enumeration Date 05/16/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3505 LAKE LYNDA DR
SUITE 207
ORLANDO FL, 32817-8324, US
Phone (407) 249-5450
Fax
Business Location
5137 GLENN VALLEY DR APT 3B
BATTLE CREEK MI, 49015-7303, US
Phone (269) 290-5017
Fax
Toxanomy
Taxonomy Code 224Z00000X
License State Washington
License Number OC00001236
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According to our database, Brenda Sue Brockmeyer COTA NPI is 1073729752, taxonomy code is 224Z00000X and license number is OC00001236, license state is located at Washington. Brenda Sue Brockmeyer COTA physically located at 3505 Lake Lynda Dr, Orlando FL, 32817-8324. NPI Number Brenda Sue Brockmeyer COTA has the Individual type.

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1073729752 NPI number is provided on an as is basis without warranty of any kind. 1073729752 is maintained by the National Plan & Provider Enumeration System. The contents of Brenda Sue Brockmeyer COTA are for informational purposes only.