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NPI Code Detail

MEDICARE: BRITTANY INNES OTR/L

MEDICARE:   BRITTANY  INNES  OTR/L
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 Therapist6072-26WI

General Provider Information

NPI Number : 1295269207
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY INNES OTR/L
Provider Business Mailing Address
First Line : 700 N MAIN ST
Second Line :
City : VERONA
State : WI
Zip : 53593-1103
Country : US
Telephone Number : 608-219-7022
Fax Number :
Provider Business Practice Location Address
First Line : 700 N MAIN ST
Second Line :
City : VERONA
State : WI
Zip : 53593-1103
Country : US
Telephone Number : 608-219-7022
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2017
Last Update Date : 04/06/2026

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Directions to “ BRITTANY INNES OTR/L” Practice Location

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