Individual provider · Type 1 NPI

Brogan Canciamille

Occupational Therapist · Rockford, IL

NPI number 1740769405 Active

Practice location

202 N Show Place Dr
Rockford, IL 61107-5351

Mailing address

130 Summit St Apt 8
Rockford, IL 61107-4257

Other practice locations

  • 4730 Squaw Prairie Rd, Belvidere, IL 61008-8800 · (815) 544-9495

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X056010232 (IL)

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…

3 other providers at this address

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About NPI 1740769405

Brogan Canciamille's National Provider Identifier is 1740769405, issued on Aug 13, 2018. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Rockford, IL. The record was last updated on Aug 13, 2018.