MEDICARE: BROOKE BARBARA KLAIR OTD, 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
1	225X00000X	Occupational Therapist	6726	CT

General Provider Information

NPI Number	:	1609735711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BROOKE BARBARA KLAIR OTD, OTR/L

Provider Business Mailing Address
First Line	:	10 OSEE PL
Second Line	:
City	:	COS COB
State	:	CT
Zip	:	06807-2307
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	78 HARVARD AVE FL 2
Second Line	:
City	:	STAMFORD
State	:	CT
Zip	:	06902-5548
Country	:	US
Telephone Number	:	203-324-1880
Fax Number	:	203-324-4390

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

Provider Enumeration Date	:	01/15/2026
Last Update Date	:	01/15/2026

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