Healthcare Provider Details

I. General information

NPI: 1245134980
Provider Name (Legal Business Name): BRITTANY ANN KUCINICH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7377 CHATEAU DR
PARMA OH
44130-6000
US

IV. Provider business mailing address

6563 BARTON RD
NORTH OLMSTED OH
44070-4753
US

V. Phone/Fax

Practice location:
  • Phone: 440-842-5300
  • Fax:
Mailing address:
  • Phone: 440-521-7185
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberOTA007173
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: