NPI 1376215707

Mark Steven Broccardo, COTA

Practitioner Occupational Therapy Assistant Ogden, UT

Practice location

Address: 3430 Harrison Blvd, Ogden, UT 84403-1231
Phone: (801) 399-5609
Fax: (801) 627-1808

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 8703927-4202 (UT)

Other Occupational Therapy Assistant providers in Utah →

Registry record

NPI: 1376215707
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Oct 2021
Record last updated: 4 Oct 2021

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.