Individual provider · Type 1 NPI

Holly Suzanne Brake, O.T.R., C.H.T.

Occupational Therapist · Jasper, IN

NPI number 1235440660 Active

Practice location

1900 Saint Charles St
Jasper, IN 47546-9145

Mailing address

908 Clay St
Jasper, IN 47546-2804

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X31001714A (IN)

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 1235440660

Holly Suzanne Brake, O.T.R., C.H.T.'s National Provider Identifier is 1235440660, issued on Jun 30, 2010. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Jasper, IN. The record was last updated on Sep 24, 2010.