Brianna Lyn Bombei, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Washington, IA
NPI 1891157764 · NPPES record last updated Mar 22, 2016
Key facts
- NPI
- 1891157764
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 079735 (IA)
- Practice address
- 1203 E Washington St
Washington, IA 52353-2168 - Phone
- (319) 591-8002
- NPI assigned
- Mar 22, 2016
- 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 |
|---|---|---|---|
| 079735 | IA | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 079735 | IA | Yes |
Addresses
Primary practice location
1203 E Washington St
Washington, IA 52353-2168
Mailing address
1203 E Washington St
Washington, IA 52353-2168
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All providers in Washington, IA · Occupational Therapy Assistant in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2016. 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.