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

Individual provider Occupational Therapy Assistant · NPI 1821876392

Tina Broucek is an Occupational Therapy Assistant in Avon, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2023
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Practice location Address checks out

39102 Case Rd
Avon, OH 44011-4755
Phone: (216) 339-8475
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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 OTA003871 (OH)

Record details

NPI number1821876392
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 18, 2023
Last updated in NPPESSeptember 18, 2023
Certification dateSeptember 17, 2023
Mailing address39102 Case Rd, Avon, OH 44011-4755

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