NPI 1053176297

Brooke Brinneman, COTA

Practitioner Occupational Therapy Assistant Fort Wayne, IN

Practice location

Address: 2626 Saint Joe Center Rd, Fort Wayne, IN 46825-5042
Phone: (260) 497-0328

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 32003668A (IN)

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Registry record

NPI: 1053176297
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Feb 2024
Record last updated: 16 Feb 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.