IndividualActive
Kristen Brokaw, COTA L
NPI 1003931106 · Occupational Therapy Assistant · Wilmington, DE
Provider details
- NPI number
- 1003931106
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA L
- Sex
- Female
- Sole proprietor
- No
- License
- 120490 (DE)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
810 S Broom St
Wilmington, DE 19805-4245
Phone: (302) 652-1181
Approximate (ZIP-level) locationGet directions
Mailing address
318 White Pine Dr
Middletown, DE 19709-9779
Registry dates
- Enumerated
- 2007-03-20
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.