Healthcare Provider Details

I. General information

NPI: 1942125398
Provider Name (Legal Business Name): BRITTNEY NICOLE HOPE OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 MOUNT ZION PKWY
MORROW GA
30260-3312
US

IV. Provider business mailing address

40 BUNTING PL
COVINGTON GA
30014-7066
US

V. Phone/Fax

Practice location:
  • Phone: 844-543-8437
  • Fax:
Mailing address:
  • Phone: 908-327-7290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOT010022
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: