Individual provider · Type 1 NPI

Nicole Anne Brodhead, OTR

Occupational Therapist · Kyle, TX

NPI number 1023364023 Active

Practice location

407 S Old Highway 81
Kyle, TX 78640-5310

Fax (512) 504-9287

Mailing address

111 W. Anderson Ln C-100
Austin, TX 78752

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X114832 (TX)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1023364023

Nicole Anne Brodhead, OTR's National Provider Identifier is 1023364023, issued on Jul 27, 2012. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Kyle, TX. The record was last updated on Aug 14, 2014.