Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEBRA BRODERSEN
Active Sole ProprietorDEBRA BRODERSEN is a Occupational Therapy Assistant healthcare provider located in MILWAUKIE, Oregon. NPI 1730502527 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · MILWAUKIE, OR
Registration Details
- NPI Number
- 1730502527
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 29, 2014 (12.353679341486 yrs)
- Last Updated
- Jan 29, 2014
- License
-
OTA1878 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4560 SE INTERNATIONAL WAYMILWAUKIE, OR, 972224628Browse OR providers · Browse ZIP 97222
- Phone
- 9712065102
- Fax
- 9712065211
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in MILWAUKIE, OR
| Name | Credential | NPI |
|---|---|---|
| CARLA JEAN SMITH | CERTIFIED OTA | 1184715955 |
| CELINA GREEN | CERTIFIED OCCUPATION | 1104917962 |
| MISS JUDY MARIE HARBIN | CERT OCC THER ASSIST | 1114018637 |
| DIANE MEDINA | CERTIFIED OCCUPATION | 1346332624 |
| STEPHANIE BROWN | CERT OCC THER ASSIST | 1134211675 |
| DAWN ROANE | CERTIFIED OCCUPATION | 1043302581 |
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.