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NPI Code Detail

MEDICARE: BROOKE M MURTAUGH OTD, OTR/L, CBIST

MEDICARE: BROOKE M MURTAUGH OTD, OTR/L, CBIST
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist1153NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639136625
Entity Type Code : Individual
Provider Name (Legal Business Name) : BROOKE M MURTAUGH OTD, OTR/L, CBIST
Provider Business Mailing Address
First Line : 5401 SOUTH ST
Second Line :
City : LINCOLN
State : NE
Zip : 68506-2150
Country : US
Telephone Number : 402-413-3188
Fax Number :
Provider Business Practice Location Address
First Line : 5401 SOUTH ST
Second Line :
City : LINCOLN
State : NE
Zip : 68506-2150
Country : US
Telephone Number : 402-413-3188
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2006
Last Update Date : 07/21/2022

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Directions to “ BROOKE M MURTAUGH OTD, OTR/L, CBIST” Practice Location

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