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NPI Code Detail

MEDICARE: BRITTANY SHORT

MEDICARE: BRITTANY SHORT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist0119007260VA

General Provider Information

NPI Number : 1073043071
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY SHORT
Provider Business Mailing Address
First Line : 2900 KENSINGTON AVE APT 707
Second Line :
City : RICHMOND
State : VA
Zip : 23221-2476
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3600 SAUNDERS AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23227-4328
Country : US
Telephone Number : 804-358-1874
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2017
Last Update Date : 06/13/2017

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Directions to “ BRITTANY SHORT ” Practice Location

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