MEDICARE: SUZANNE BRIGGS OT

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	OT.0000514	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	OT.0000514	OTHER	CO	CO OT LICENSE

General Provider Information

NPI Number	:	1841097979
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUZANNE BRIGGS OT

Provider Business Mailing Address
First Line	:	2312 N NEVADA AVE STE 100
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-5307
Country	:	US
Telephone Number	:	719-473-3272
Fax Number	:	719-389-1191

Provider Business Practice Location Address
First Line	:	5725 MARK DABLING BLVD STE 100
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80919-2221
Country	:	US
Telephone Number	:	740-275-4480
Fax Number	:

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

Provider Enumeration Date	:	02/26/2025
Last Update Date	:	03/05/2025

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Directions to “ SUZANNE BRIGGS OT” Practice Location

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