Provider Demographics
NPI:1215819057
Name:DRISCOLL, BROOKE (OTR/L)
Entity type:Individual
Prefix:
First Name:BROOKE
Middle Name:
Last Name:DRISCOLL
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:832 JOHNSON AVE
Mailing Address - Street 2:
Mailing Address - City:NEW LEXINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43764-1125
Mailing Address - Country:US
Mailing Address - Phone:304-641-7527
Mailing Address - Fax:
Practice Address - Street 1:832 JOHNSON AVE
Practice Address - Street 2:
Practice Address - City:NEW LEXINGTON
Practice Address - State:OH
Practice Address - Zip Code:43764-1125
Practice Address - Country:US
Practice Address - Phone:304-641-7527
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT013178225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist