Brittany Jo Marilyn Anderson, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Lacey, WA
NPI 1275936577 · NPPES record last updated Sep 30, 2014
Key facts
- NPI
- 1275936577
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- OC60493034 (WA)
- Practice address
- 305 College St NE
Lacey, WA 98516-5390 - Phone
- (360) 412-4400
- NPI assigned
- Sep 30, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC60493034 | WA | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OC60493034 | WA | Yes |
Addresses
Primary practice location
305 College St NE
Lacey, WA 98516-5390
Mailing address
305 College St NE
Lacey, WA 98516-5390
Phone (360) 412-4400
Other providers in Lacey, WA
- Sonja An
- Alexander Kraig Anagnostou
- Christine B Anderegg
- August Anderson-Smith
- Amy Anderson
- Emily Ruth Anderson
- Jennifer Louise Anderson
- John Anderson
- Raymond Anderson
- Andrea Broadwater Counseling and Consulting, LLC
All providers in Lacey, WA · Occupational Therapy Assistant in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.