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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 (4.8190345084363 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.