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NPI Code Detail

MEDICARE: KATHLEEN BROUGH MS, OTR/L

MEDICARE: KATHLEEN BROUGH MS, OTR/L
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 Therapist004329CO

General Provider Information

NPI Number : 1659754687
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN BROUGH MS, OTR/L
Provider Business Mailing Address
First Line : 3768 S MISSION PKWY APT D
Second Line :
City : AURORA
State : CO
Zip : 80013-2467
Country : US
Telephone Number : 719-660-1875
Fax Number :
Provider Business Practice Location Address
First Line : 3401 QUEBEC ST STE 3500
Second Line :
City : DENVER
State : CO
Zip : 80207-2339
Country : US
Telephone Number : 720-580-3068
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2015
Last Update Date : 04/06/2023

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