Brockett, Timothy Ray

Brockett, Timothy Ray is an individual health care provider with primary practice located at 149 Pearson St , Lehigh Acres FL 33974-0428. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is his primary health care specialty. Brockett, Timothy Ray can be contacted via phone (440) 812-2853.

Contact Information

Primary practice address
149 Pearson St Lehigh Acres FL 33974-0428
Phone: (440) 812-2853
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X OTA16207 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT22381 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1093223182
LBN Legal business name Brockett, Timothy Ray
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2018
Last updated Feb 26th, 2023 - about last year

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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