Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRANDI BROADDUS, COTA/L
Active Sole ProprietorBRANDI BROADDUS, COTA/L is a Occupational Therapy Assistant healthcare provider located in SPRINGFIELD, Illinois. NPI 1922763515 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · SPRINGFIELD, IL
Registration Details
- NPI Number
- 1922763515
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 8, 2021 (4.7572493818037 yrs)
- Last Updated
- Nov 8, 2021
- License
-
057005546 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3131 GREENHEAD DR STE DSPRINGFIELD, IL, 627117426Browse IL providers · Browse ZIP 62711
- Phone
- 2178911524
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in SPRINGFIELD, IL
| Name | Credential | NPI |
|---|---|---|
| MR. JOSEPH MICHAEL HOUSTON | COTAL | 1508905084 |
| MRS. HEATHER L LOWARY | COTA | 1407982572 |
| GAYLA J NICKEL | COTA | 1649399239 |
| ANGELA MARIE SCHNEIDER | C.O.T.A. | 1457530396 |
| MISS STEPHANIE LYNN WALL | COTA/L | 1477718534 |
| TAMARA SUE PRUETZEL | COTA/L | 1558527622 |
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.