Provider Demographics
NPI:1770262131
Name:SZIPSZKY, BROOKE (OTR/L)
Entity type:Individual
Prefix:
First Name:BROOKE
Middle Name:
Last Name:SZIPSZKY
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 1:8391 N 275 E
Mailing Address - Street 2:
Mailing Address - City:BATTLE GROUND
Mailing Address - State:IN
Mailing Address - Zip Code:47920-9447
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8391 N 275 E
Practice Address - Street 2:
Practice Address - City:BATTLE GROUND
Practice Address - State:IN
Practice Address - Zip Code:47920-9447
Practice Address - Country:US
Practice Address - Phone:765-490-5166
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-13
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist