IndividualActive
Brooke Wells, OTD, OTR/L
NPI 1275216228 · Occupational Therapist · Summit, MS
Provider details
- NPI number
- 1275216228
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTD, OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- 4053 (MS)
Mailing address
1143 Deer Creek Ln
Summit, MS 39666-5612
Registry dates
- Enumerated
- 2023-08-08
- Last updated
- 2023-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.