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NPI Code Detail

MEDICARE: BROOKE JARBOE

MEDICARE: BROOKE JARBOE
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 Therapist
2225X00000XOccupational Therapist2052OK

General Provider Information

NPI Number : 1093264095
Entity Type Code : Individual
Provider Name (Legal Business Name) : BROOKE JARBOE
Provider Business Mailing Address
First Line : 1809 COMMONS CIR STE B
Second Line :
City : YUKON
State : OK
Zip : 73099-9528
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 501 S COLTRANE RD STE A
Second Line :
City : EDMOND
State : OK
Zip : 73034-6729
Country : US
Telephone Number : 580-318-9415
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2016
Last Update Date : 02/27/2025

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Directions to “ BROOKE JARBOE ” Practice Location

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