Individual provider · Type 1 NPI

Mark Steven Broccardo, COTA

Occupational Therapy Assistant · Ogden, UT

NPI number 1376215707 Active

Practice location

3430 Harrison Blvd
Ogden, UT 84403-1231

Fax (801) 627-1808

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X8703927-4202 (UT)

Occupational Therapy Assistant: 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 a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1376215707

Mark Steven Broccardo, COTA's National Provider Identifier is 1376215707, issued on Oct 4, 2021. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Ogden, UT. The record was last updated on Oct 4, 2021.