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

MARK STEVEN BROCCARDO, COTA

Active

MARK STEVEN BROCCARDO, COTA is a Occupational Therapy Assistant healthcare provider located in OGDEN, Utah. NPI 1376215707 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · OGDEN, UT

Registration Details

NPI Number
1376215707
Provider Type
Individual
Gender
Male
NPI Issued
Oct 4, 2021 (5.0704735046084 yrs)
Last Updated
Oct 4, 2021
License
8703927-4202 (UT)

Practice Information

Address
3430 HARRISON BLVD
OGDEN, UT, 844031231
Browse UT providers · Browse ZIP 84403
Phone
8013995609
Fax
8016271808
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in OGDEN, UT

Name Credential NPI
JENNY L THURBER COTA 1164439998
ANN B BRADY COTA 1477560571
NELENA A NOVAK COTA 1700893831
MR. SCOTT HURLEY — 1164627345
DAWN ALLEN — 1437659042
SANDRIA STUBBS WILDE — 1306555768
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.