Individual
MS. KRISTEN NICOLE BROKAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA L
Contact information
Practice address
810 S BROOM ST, WILMINGTON, DE 19805-4245
(302) 652-1181
Mailing address
318 WHITE PINE DR, MIDDLETOWN, DE 19709-9779
(302) 838-2488
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
120490
DE
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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