Individual
BRENDA SUE BROCKMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3505 LAKE LYNDA DR, SUITE 207, ORLANDO, FL 32817-8324
(407) 249-5450
Mailing address
5137 GLENN VALLEY DR APT 3B, BATTLE CREEK, MI 49015-7303
(269) 290-5017
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC00001236
WA
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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