Mark Steven Broccardo, COTA

NPI #1376215707 in Ogden, Utah

Provider Information

NPI Number: 1376215707
Entity Type: Individual
Name: Mark Steven Broccardo, COTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapy Assistant
Credential: COTA
Enumeration Date: Oct 4, 2021
Last Updated: Oct 4, 2021

Practice Location

Address: 3430 HARRISON BLVD
City: Ogden
State: Utah
ZIP Code: 84403-1231
Phone: (801) 399-5609

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapy Assistant	224Z00000X	Primary

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