Braddock, Brooke Tooley
Braddock, Brooke Tooley is an individual health care provider with primary practice located at 9101 Burnet Rd Ste 103 , Austin TX 78758-5260. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Braddock, Brooke Tooley can be contacted via phone (512) 248-2422.Contact Information
Primary practice address
9101 Burnet Rd Ste 103
Austin TX 78758-5260
Phone: (512) 248-2422
Fax: (512) 248-2354
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 114627 | Texas |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X |
Profile Details
| NPI number | 1568729341 |
|---|---|
| LBN Legal business name | Braddock, Brooke Tooley |
| Credentials | OT, MOT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2012 |
| Last updated | Jan 18th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568729341 | NPPES |
| Texas | MEDICAID | 342765001 |
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