Individual
PATRICIA LYNN BROCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT/L
Contact information
Practice address
4203 OSWEGO DR, VANCOUVER, WA 98661-5928
(360) 313-6478
Mailing address
4203 OSWEGO DR, VANCOUVER, WA 98661-5928
(360) 313-6478
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00001538
WA
Other
Enumeration date
01/29/2008
Last updated
04/08/2013
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