Brooke Condra COTA

NPI 1063685915 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1063685915
Gender Female
Enumeration Date 04/10/2008
Last Updated 04/11/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
MITCHELL IN, 47446-7360, US
Phone (812) 849-2221
Business Location
2071 N STATE ROAD 37
PAOLI IN, 47454-9704, US
Phone (812) 849-2221
Taxonomy Code 224Z00000X
License State Indiana
License Number 32001598A
Remove 1063685915 NPI Number

According to our database, Brooke Condra COTA NPI is 1063685915, taxonomy code is 224Z00000X and license number is 32001598A, license state is located at Indiana. Brooke Condra COTA physically located at 24 Teke Burton Dr, Mitchell IN, 47446-7360. NPI Number Brooke Condra COTA has the Individual type.

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1063685915 NPI number is provided on an as is basis without warranty of any kind. 1063685915 is maintained by the National Plan & Provider Enumeration System. The contents of Brooke Condra COTA are for informational purposes only.