Individual
KATHLEEN BROCKMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
169 TEQUESTA DR STE 24E, TEQUESTA, FL 33469
(561) 747-8188
Mailing address
173 SW MALLARD GLN, LAKE CITY, FL 32024-0589
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
05/07/2018
Last updated
05/22/2018
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