Healthcare Provider Details

I. General information

NPI: 1508334145
Provider Name (Legal Business Name): BRITTANY NICOLE DELL MOT, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/12/2018
Last Update Date: 11/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47160 HOLLSTEIN DR STE 200
AMHERST OH
44001-3338
US

IV. Provider business mailing address

16236 HUMMEL RD
BROOKPARK OH
44142-1963
US

V. Phone/Fax

Practice location:
  • Phone: 440-960-3400
  • Fax: 440-960-4646
Mailing address:
  • Phone: 216-777-9275
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOT010355
License Number StateOH

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: