Healthcare Provider Details

I. General information

NPI: 1346127990
Provider Name (Legal Business Name): BRITA NORDGREN OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

192 E CHESTNUT ST STE C
ASHEVILLE NC
28801-2371
US

IV. Provider business mailing address

192 E CHESTNUT ST STE C
ASHEVILLE NC
28801-2371
US

V. Phone/Fax

Practice location:
  • Phone: 828-475-8822
  • Fax:
Mailing address:
  • Phone: 828-475-8822
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number18002
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: