MEDICARE: ABBY BROOKS OTR

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
1	225X00000X	Occupational Therapist	1651	WV

General Provider Information

NPI Number	:	1548824576
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABBY BROOKS OTR

Provider Business Mailing Address
First Line	:	3000 MON HEALTH MEDICAL PARK DR STE 3201
Second Line	:
City	:	MORGANTOWN
State	:	WV
Zip	:	26505-1170
Country	:	US
Telephone Number	:	304-285-1460
Fax Number	:	304-285-2739

Provider Business Practice Location Address
First Line	:	3000 MON HEALTH MEDICAL PARK DR STE 3201
Second Line	:
City	:	MORGANTOWN
State	:	WV
Zip	:	26505-1170
Country	:	US
Telephone Number	:	304-285-1460
Fax Number	:	304-285-2739

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2019
Last Update Date	:	06/23/2022

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Directions to “ ABBY BROOKS OTR” Practice Location

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