Eileen Faye Broberg in Auburn - Occupational Therapy Assistant

Eileen Faye Broberg - NPI 1063536209

Eileen Faye Broberg is a Occupational Therapy Assistant in Auburn, Maine. Eileen Faye Broberg practices all healthcare services and medical treatments related to Occupational Therapy Assistant. The NPI Number for Eileen Faye Broberg is 1063536209. The last update date is 2007-07-08.

Eileen Faye Broberg's current location address is 68 Pinewood Dr, Auburn, Maine. You can contact this provider via phone number 2077846076. The mailing address for Eileen Faye Broberg is 68 Pinewood Dr, Auburn, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name Eileen Faye Broberg
Address 68 Pinewood Dr, Auburn, Maine
Phone Number 2077846076
Fax Number
Sole Proprietor Y
Credentials OT

NPI Number Detail

NPI Number 1063536209
Provider Enumeration Date 2007-03-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 68 Pinewood Dr
City Auburn
State Maine (ME)
Post Code 42109205
Phone Number 2077846076
Fax Number

Provider's Primary Taxonomy Detail

Speciality Occupational Therapy Assistant
Taxonomy 224Z00000X
Licence No OT509
Definition:
An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
225X00000X ME OCCUPATIONAL THERAPIST

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FAQs about Eileen Faye Broberg

What is the unique identification code assigned to Eileen Faye Broberg by the Centers for Medicare & Medicaid Services?

The Eileen Faye Broberg has been issued the NPI (National Provider Identifier) 1063536209. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Eileen Faye Broberg is located?

The Eileen Faye Broberg is situated at the following address: 68 Pinewood Dr, Auburn, ME, 42109205.

What is Eileen Faye Broberg's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Eileen Faye Broberg's specialized field of practice is Occupational Therapy Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 224Z00000X.

When was the Eileen Faye Broberg's 1063536209 issued?

The Eileen Faye Broberg's 1063536209 was issued on 2007-03-16.

As of what date were the details related to Eileen Faye Broberg most recently updated or revised?

The information pertaining to Eileen Faye Broberg, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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