Mary Bromlow, OT
Individual provider Active NPI Occupational Therapist · Fairview, OK
NPI 1134817687 · NPPES record last updated Apr 24, 2023
Key facts
- NPI
- 1134817687
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 5672 (OK)
- Practice address
- 523 E State Rd
Fairview, OK 73737-1453 - Phone
- (580) 227-1370
- Fax
- (580) 227-2882
- NPI assigned
- Apr 24, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5672 | OK | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5672 | OK | Yes |
Addresses
Primary practice location
523 E State Rd
Fairview, OK 73737-1453
Mailing address
523 E State Rd
Fairview, OK 73737-1453
Other providers in Fairview, OK
- Linda G. Barton
- Be Thou My Vision, PC
- Sonia Bell
- Benrx LLC
- Jerry Braziel
- Blake Carlisle
- Max L Carlisle
- Michelle Cheek-Gosney
- Hannah Cook
- County of Major Fairview School Dist 84
All providers in Fairview, OK · Occupational Therapist in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.