Healthcare Provider Details

I. General information

NPI: 1023743408
Provider Name (Legal Business Name): BRIANNA ROCKERMANN OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2022
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 HAMMILL LN
RENO NV
89511-1004
US

IV. Provider business mailing address

2585 BATON DR
RENO NV
89521-5259
US

V. Phone/Fax

Practice location:
  • Phone: 775-828-5600
  • Fax:
Mailing address:
  • Phone: 845-754-1035
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT-3425
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: