Brooksie Edquist, PT
Individual provider Active NPI Occupational Therapist · Lake Jackson, TX
NPI 1669604591 · NPPES record last updated Aug 11, 2009
Key facts
- NPI
- 1669604591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 100460 (TX)
- Practice address
- 321 Garland Dr
Lake Jackson, TX 77566-6238 - Phone
- (979) 297-3365
- Fax
- (979) 297-3541
- NPI assigned
- Aug 11, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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 |
|---|---|---|---|
| 100460 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brazosport Rehabilitation & Wellness, LLC | Occupational Therapist | Past |
Accepting new patients |
| Fitness & Rehabilitation Services, LLC | Occupational Therapist | Past | Accepting new patients |
| Brazoria County Association for Children'S Habilitation | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 100460 | TX | Yes |
Addresses
Primary practice location
321 Garland Dr
Lake Jackson, TX 77566-6238
Mailing address
321 Garland Dr
Lake Jackson, TX 77566-6238
Phone (979) 297-3365
Other providers in Lake Jackson, TX
- Ec Opco Lake Jackson, LLC
- Tiffany Paige Eckenrod
- Eckerds RX 106 LLC
- Eco Dental Care, PLLC
- Sara Eddy
- Steven Dale Eggleston
- Elite Healthcare Services, PLLC
- Thomas Alan Ellisor
- Scott A Elrod
- Emerardo Falcon Jr., M.D., P.a.
All providers in Lake Jackson, TX · Occupational Therapist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2009. 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.