Provider Demographics
NPI:1164636080
Name:BROERSMA, JOY CHRISTINE (OTR, CHT)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:CHRISTINE
Last Name:BROERSMA
Suffix:
Gender:F
Credentials:OTR, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3620 SE 48TH ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34480-7384
Mailing Address - Country:US
Mailing Address - Phone:352-291-7565
Mailing Address - Fax:
Practice Address - Street 1:2210 SE 17TH ST STE 302
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-9145
Practice Address - Country:US
Practice Address - Phone:352-629-4509
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2018-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT-8350225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand