Braddock, Brooke Tooley

Braddock, Brooke Tooley is an individual health care provider with primary practice located at 9101 Burnet Rd Ste 103 , Austin TX 78758-5260. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Braddock, Brooke Tooley can be contacted via phone (512) 248-2422.

Contact Information

Primary practice address
9101 Burnet Rd Ste 103 Austin TX 78758-5260
Fax: (512) 248-2354
Website:

Profile Details

NPI number 1568729341
LBN Legal business name Braddock, Brooke Tooley
Credentials OT, MOT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2012
Last updated Jan 18th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568729341 NPPES
Texas MEDICAID 342765001

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