MEDICARE: BRITTANY BRAUER

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
1	225X00000X	Occupational Therapist	0006868	CO

General Provider Information

NPI Number	:	1477128494
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY BRAUER

Provider Business Mailing Address
First Line	:	11121 ENDEAVOR DR
Second Line	:
City	:	PARKER
State	:	CO
Zip	:	80134-3829
Country	:	US
Telephone Number	:	720-284-4344
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 W CITY CENTER DR STE 200A
Second Line	:
City	:	PUEBLO
State	:	CO
Zip	:	81003-1024
Country	:	US
Telephone Number	:	719-387-7775
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2021
Last Update Date	:	06/14/2023

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