Individual provider · Type 1 NPI

Constance Marie Brake, MS OTRL

Occupational Therapist · Greensboro, NC

NPI number 1407913627 Active

Practice location

5415 W Friendly Ave Ste A
Greensboro, NC 27410-4255

Fax (336) 292-6064

Mailing address

130 Park Boulevard
Winston Salem, NC 27127-2042

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X4237 (NC)

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 1407913627

Constance Marie Brake, MS OTRL's National Provider Identifier is 1407913627, issued on Jan 3, 2007. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Greensboro, NC. The record was last updated on Jul 7, 2011.