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

CODY O'NEAL BROOM

Active

CODY O'NEAL BROOM is a Occupational Therapist healthcare provider located in COLUMBIA, Mississippi. NPI 1720738099 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · COLUMBIA, MS

Registration Details

NPI Number
1720738099
Provider Type
Individual
Gender
Male
NPI Issued
Mar 28, 2022 (4.3557400500613 yrs)
Last Updated
Jun 22, 2022
License
PTA7008 (MS)

Practice Information

Address
11 PECAN DR
COLUMBIA, MS, 394292600
Browse MS providers · Browse ZIP 39429
Phone
6017315717
Fax
6016330082
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in COLUMBIA, MS

Name Credential NPI
MS. JACQUELINE NICOLE TURNAGE LPTA 1629016506
MS. VICKIE LEONA WALTERS LPTA 1063451342
MIA ANTIONETTTE LUTER LPTA 1922127885
DARYN MICHAEL MCARTHUR LPTA 1356719553
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.