Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JESSICA BROOKE MIEBACH, OTD, OTR/L
ActiveDR. JESSICA BROOKE MIEBACH, OTD, OTR/L is a Occupational Therapist healthcare provider located in FOUNTAIN INN, South Carolina. NPI 1902635246 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · FOUNTAIN INN, SC
Registration Details
- NPI Number
- 1902635246
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 26, 2024 (2.0191481377527 yrs)
- Last Updated
- Jul 26, 2024
- License
-
7214 (SC)
Practice Information
- Address
-
106 ICEBOW RDFOUNTAIN INN, SC, 296446188Browse SC providers · Browse ZIP 29644
- Phone
- 8649080185
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in FOUNTAIN INN, SC
| Name | Credential | NPI |
|---|---|---|
| RANDY L MARG | OT | 1710016084 |
| MRS. NANCY WOLLA GARDNER | OTR/L | 1659610558 |
| KRISTIN FERREE | — | 1972918373 |
| KATHARINA FAERBER | — | 1043729577 |
| MEREDITH MARLOWE | OTR/L | 1104328707 |
| COURTNEY KOZAR | OTR/L | 1538716162 |
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.