Heather Lee Brooks, OTR
Individual provider Active NPI Occupational Therapist · Bowling Green, MO
NPI 1407923014 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1407923014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 2001025908 (MO)
- Practice address
- 700 W Adams St
Bowling Green, MO 63334-2000 - Phone
- (573) 324-2331
- NPI assigned
- Nov 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 2001025908 | MO | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2001025908 | MO | Yes |
Addresses
Primary practice location
700 W Adams St
Bowling Green, MO 63334-2000
Mailing address
1373 Wagon Wheel TRL
O Fallon, MO 63366-3749
Phone (636) 294-5394
Other providers in Bowling Green, MO
- Board of Education Bowling Green
- Bowling Green Counseling and Consulting
- Bowling Green Pharmacy Inc.
- Deelena Betty Brand
- Bonnie Brennen
- Tomas V Cabrera
- Champ Clark Service Coordination
- Kinley Charlton
- Stephen Richard Chismarich
- Madison Collard
All providers in Bowling Green, MO · Occupational Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.