Healthcare Provider Details

I. General information

NPI: 1275720518
Provider Name (Legal Business Name): BRITTANY ROSE STRYKER BOCD, OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2007
Last Update Date: 02/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 E. DESERT INN ROAD SUITE 250
LAS VEGAS NV
89121-3633
US

IV. Provider business mailing address

2800 E. DESERT INN ROAD SUITE 250
LAS VEGAS NV
89121-3633
US

V. Phone/Fax

Practice location:
  • Phone: 702-697-7070
  • Fax: 702-697-7077
Mailing address:
  • Phone: 702-697-7070
  • Fax: 702-697-7077

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: