Search › Illinois › Occupational Therapy Assistant
Brandi Broaddus, COTA/L
NPI 1922763515 · on the registry since 2021 · sole proprietor
Practice
- Address
- 3131 Greenhead Dr Ste D
Springfield, IL 62711 - Phone
- (217) 891-1524
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Occupational Therapy Assistant
224Z00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-11-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois