Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark Steven Broccardo, COTA

Individual provider Occupational Therapy Assistant · NPI 1376215707

Mark Steven Broccardo, COTA is an Occupational Therapy Assistant in Ogden, Utah. Licensed in Utah. Registered with an NPI since 2021.

Licensed in
UT
In the registry since
2021
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

3430 Harrison Blvd
Ogden, UT 84403-1231
Phone: (801) 399-5609
Fax: (801) 627-1808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 8703927-4202 (UT)

Record details

NPI number1376215707
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA
Sole proprietorNo
NPI enumeratedOctober 4, 2021
Last updated in NPPESOctober 4, 2021
Certification dateOctober 4, 2021
Mailing address3430 Harrison Blvd, Ogden, UT 84403-1231

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