Individual provider · Type 1 NPI

Mikaela Jade Brock

Occupational Therapist · Colorado Springs, CO

NPI number 1083307227 Active

Practice location

2776 Janitell Rd
Colorado Springs, CO 80906-4103

Call (719) 332-4689 Map

Mailing address

6077 Mumford Dr
Colorado Springs, CO 80925-8472

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT.0007579 (CO)

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 1083307227

Mikaela Jade Brock's National Provider Identifier is 1083307227, issued on Jun 1, 2023. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Colorado Springs, CO. The record was last updated on Jun 1, 2023.