Healthcare Provider Details

I. General information

NPI: 1144978586
Provider Name (Legal Business Name): BRINLEY ARLENE BROWN OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2022
Last Update Date: 09/09/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

390 NORTH LOOP ROAD
FORT IRWIN CA
92310
US

IV. Provider business mailing address

4228 E VEST AVE
GILBERT AZ
85295-6144
US

V. Phone/Fax

Practice location:
  • Phone: 760-380-9593
  • Fax:
Mailing address:
  • Phone: 310-748-4555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number008745
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: