Healthcare Provider Details

I. General information

NPI: 1710890132
Provider Name (Legal Business Name): BRIANNE HOOD MOT, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 E YORK RD
AVOCA IA
51521-2052
US

IV. Provider business mailing address

8221 N 161ST ST
BENNINGTON NE
68007-5597
US

V. Phone/Fax

Practice location:
  • Phone: 712-343-6398
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: