Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LUCY ROSE BROCKMAN, PTA
ActiveLUCY ROSE BROCKMAN, PTA is a Occupational Therapist healthcare provider located in FREEDOM, Wisconsin. NPI 1336490275 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · FREEDOM, WI
Registration Details
- NPI Number
- 1336490275
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 1, 2012 (13.839901541661 yrs)
- Last Updated
- Oct 1, 2012
- License
-
1778-019 (WI)
Practice Information
- Address
-
N4223 KILLARNEY LNFREEDOM, WI, 541307168Browse WI providers · Browse ZIP 54130
- Phone
- 9207401471
- 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.