Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BROOKE BOESER
Active Sole ProprietorBROOKE BOESER is a Occupational Therapy Assistant healthcare provider located in SAINT JACOB, Illinois. NPI 1629940812 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · SAINT JACOB, IL
Registration Details
- NPI Number
- 1629940812
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 18, 2025 (0.92736385029544 yrs)
- Last Updated
- Sep 18, 2025
- License
-
057.004890 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
231 W MAIN STSAINT JACOB, IL, 622811531Browse IL providers · Browse ZIP 62281
- Phone
- 6182259212
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
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.