Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BROOKE LAUREN GIBSON, COTA/L
Active Sole ProprietorOccupational Therapy Assistant · ELLIJAY, GA
Registration Details
- NPI Number
- 1295512093
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 13, 2023 (2.6451888950512 yrs)
- Last Updated
- Sep 13, 2023
- License
-
OTA002788 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
114 PENLAND STELLIJAY, GA, 305400487Browse GA providers · Browse ZIP 30540
- Phone
- 7069142483
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in ELLIJAY, GA
| Name | Credential | NPI |
|---|---|---|
| MEGAN LOUISE KONRAD | COTA/L | 1255877619 |
| DANIELLE PERALES | COTA/L | 1184331597 |
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.