Individual provider · Type 1 NPI
Melinda C. Broadstone, O.T., M.T., CLT
Occupational Therapist · Fort Walton Beach, FL
Practice location
61 Ferry Rd NE
Fort Walton Beach, FL 32548-5170
Mailing address
PO Box 2472
Fort Walton Beach, FL 32549-2472
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist | 225700000X | MA32767 (FL) |
| Occupational Therapist Primary | 225X00000X | OT9352 (FL) |
| Gerontology Occupational Therapist | 225XG0600X | OT9352 (FL) |
| Neurorehabilitation Occupational Therapist | 225XN1300X | OT9352 (FL) |
| Pediatric Occupational Therapist | 225XP0200X | OT9352 (FL) |
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 1396076352
Melinda C. Broadstone, O.T., M.T., CLT's National Provider Identifier is 1396076352, issued on Jan 14, 2010. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Fort Walton Beach, FL. The record was last updated on Jan 14, 2010.