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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAKE BROSCHA

Active

JAKE BROSCHA is a Occupational Therapist healthcare provider located in CENTERVILLE, South Dakota. NPI 1205216082 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · CENTERVILLE, SD

Registration Details

NPI Number
1205216082
Provider Type
Individual
Gender
Male
NPI Issued
Jun 5, 2015 (11.204895457118 yrs)
Last Updated
Jun 5, 2015
License
0430 (SD)

Practice Information

Address
500 VERMILLION ST
CENTERVILLE, SD, 570142168
Browse SD providers · Browse ZIP 57014
Phone
6055632251
Primary Specialty
Occupational Therapist
225200000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.