Active NPIIndividual providerSole proprietor

Ms. Eileen F Broberg, OT

Occupational Therapy Assistant in Auburn, Maine

NPI Number1063536209
Practice location
68 Pinewood Dr, Auburn, ME 04210-9205
Fax
—
Last updated
July 8, 2007

Eileen Faye Broberg is an Occupational Therapy Assistant based in Auburn, ME. Eileen Faye Broberg practices in Auburn, ME and has the professional credentials of OT. The NPI Number for Eileen Faye Broberg is 1063536209 and holds a License No. OT509 (ME). The current practice location address for Eileen Faye Broberg is 68 Pinewood Dr, Auburn, ME 04210-9205 and can be reached out via phone at 207-784-6076.

Provider Profile Details

NPI Number
1063536209
Provider Name
Eileen Faye Broberg
Credential
OT
Provider Entity Type
Individual
Gender
Female
Address
68 Pinewood Dr, Auburn, ME 04210-9205
Phone Number
207-784-6076
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 16, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
68 Pinewood Dr
Auburn, ME 04210-9205
City
Auburn
State
Maine
Zip
04210-9205
Phone Number
207-784-6076
Auburn, ME 04210Get directions →

Provider Business Mailing Address Details

Address
68 Pinewood Dr
Auburn, ME 04210-9205
City
Auburn
State
ME
Zip
04210-9205
Phone Number
207-784-6076

License Information

License Number
OT509
License State
ME
Taxonomy
Occupational Therapy Assistant · 224Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Eileen F Broberg, OT?

The NPI number of Ms. Eileen F Broberg, OT is 1063536209. It was assigned on March 16, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Eileen F Broberg, OT?

Ms. Eileen F Broberg, OT is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in ME under license number OT509.

Where does Ms. Eileen F Broberg, OT practice?

The practice location is 68 Pinewood Dr, Auburn, ME 04210-9205. The office can be reached at 207-784-6076 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063536209 directly on the NPPES registry website.

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