MARK BROCCARDO, COTA

Occupational Therapy Assistant

Active Individual
NPI: 1376215707

Practice Address

3430 HARRISON BLVD
Ogden, UT 84403

Phone: (801) 399-5609

Specialties

Specialty Code Primary License
Occupational Therapy Assistant 224Z00000X Yes 8703927-4202 (UT)

Frequently Asked Questions

NPI 1376215707 is the National Provider Identifier for MARK BROCCARDO, COTA, a Occupational Therapy Assistant provider located in Ogden, UT. This NPI was enumerated on October 4, 2021.
MARK BROCCARDO, COTA practices at 3430 HARRISON BLVD, Ogden, UT 84403.

Quick Facts

NPI
1376215707
Type
Individual
Enumerated
Oct 4, 2021
Last Updated
Oct 4, 2021

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