Mikaela Jade Brock
Mikaela Jade Brock is an Occupational Therapist in Colorado Springs, Colorado. Licensed in Colorado. Registered with an NPI since 2023.
- Licensed in
- CO
- In the registry since
- 2023
Practice location Address checks out
2776 Janitell RdColorado Springs, CO 80906-4103
Phone: (719) 332-4689
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Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence OT.0007579 (CO) |
|---|
Record details
| NPI number | 1083307227 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 1, 2023 |
| Last updated in NPPES | June 1, 2023 |
| Certification date | May 31, 2023 |
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