Provider Demographics
NPI:1194369512
Name:PAPSTEIN, BROOKE NICOLLE (OTR/L)
Entity type:Individual
Prefix:
First Name:BROOKE
Middle Name:NICOLLE
Last Name:PAPSTEIN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:BROOKE
Other - Middle Name:NICOLLE
Other - Last Name:PODTBURG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:2261 ENTERPRISE DR
Mailing Address - Street 2:
Mailing Address - City:ALAMOSA
Mailing Address - State:CO
Mailing Address - Zip Code:81101-3603
Mailing Address - Country:US
Mailing Address - Phone:719-589-5851
Mailing Address - Fax:
Practice Address - Street 1:1255 BAKER PASS ST
Practice Address - Street 2:
Practice Address - City:SEVERANCE
Practice Address - State:CO
Practice Address - Zip Code:80550-2891
Practice Address - Country:US
Practice Address - Phone:970-231-7710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-29
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225X00000X
COOT.0005798225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist