Provider Demographics
NPI:1194290627
Name:BELMONT, BROOKE MARGARET (OTR/L)
Entity type:Individual
Prefix:MS
First Name:BROOKE
Middle Name:MARGARET
Last Name:BELMONT
Suffix:
Gender:F
Credentials:OTR/L
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Mailing Address - Street 1:100 CUMMINGS CTR STE 350G
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-6136
Mailing Address - Country:US
Mailing Address - Phone:978-712-0003
Mailing Address - Fax:
Practice Address - Street 1:100 CUMMINGS CENTER SUITE 343G
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-5377
Practice Address - Country:US
Practice Address - Phone:978-712-0003
Practice Address - Fax:866-258-7586
Is Sole Proprietor?:No
Enumeration Date:2018-10-11
Last Update Date:2023-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA12887225X00000X
225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist