Healthcare Provider Details

I. General information

NPI: 1306409156
Provider Name (Legal Business Name): BRITTANY GUHL MOT, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2019
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6920 CALLE MARGARITA NE
ALBUQUERQUE NM
87113-1083
US

IV. Provider business mailing address

6920 CALLE MARGARITA NE
ALBUQUERQUE NM
87113-1083
US

V. Phone/Fax

Practice location:
  • Phone: 505-660-2799
  • Fax:
Mailing address:
  • Phone: 505-660-2799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number4072
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: