Alina Broski I, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Chesterton, IN
NPI 1720527765 · NPPES record last updated Feb 22, 2017
Key facts
- NPI
- 1720527765
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- Practice address
- 1120 S. Calument Road
Suite 3
Chesterton, IN 46304 - Phone
- (219) 983-9675
- NPI assigned
- Feb 22, 2017
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | Yes |
Addresses
Primary practice location
1120 S. Calument Road
Suite 3
Chesterton, IN 46304
Mailing address
125 Ridgeview Dr
Valparaiso, IN 46385-7810
Phone (219) 252-4909
Other providers in Chesterton, IN
- Ma Carmel Quijada Breidigan
- Joseph Brett
- Benjamin Brewer
- Brian C. McGue DDS PC
- Daaiyah Brooks
- Marc S Bruell
- Mary Lee Buckman
- Steven Michael Bunag
- Carolyn Bunton-Knoll
- Nathan Tyler Bush
All providers in Chesterton, IN · Occupational Therapy Assistant in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2017. 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.