Individual
HEATHER BROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1002 W FREMONT AVE, SUNNYVALE, CA 94087-3031
(831) 331-9625
Mailing address
PO BOX 5282, SAN JOSE, CA 95150-5282
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12140
CA
Other
Enumeration date
02/28/2013
Last updated
02/28/2013
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