Ms. Kristen Nicole Brokaw
Occupational Therapy Assistant
810 S Broom St
Wilmington
, Delaware 19805-4245
Ms. Kristen Nicole Brokaw
Occupational Therapy Assistant
810 S Broom St
Wilmington
, Delaware 19805-4245
(302) 838-2488
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About
Features
Specialties
- Occupational Therapy Assistant
Languages spoken
- English
Location
First Address
- Ms. Kristen Nicole Brokaw
- 318 White Pine Dr
- Middletown, DE
- Zip : 19709-9779
- Phone : (302) 838-2488
Second Address
- Ms. Kristen Nicole Brokaw
- 810 S Broom St
- Wilmington, DE
- Zip : 19805-4245
- Phone : (302) 652-1181
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 120490 | DE |
National Provider Identifier
| NPI | 1003931106 |
|---|---|
| Provider Name | Ms. Kristen Nicole Brokaw |
| First Address | Middletown, DE 19709-9779 |
| Second Address | Wilmington, DE 19805-4245 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/03/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.