Provider Demographics
NPI:1043583776
Name:BURCHFIELD, BRANDY (OTR/L)
Entity Type:Individual
Prefix:
First Name:BRANDY
Middle Name:
Last Name:BURCHFIELD
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3815 JESSICA LN
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35243-5307
Mailing Address - Country:US
Mailing Address - Phone:205-903-8709
Mailing Address - Fax:
Practice Address - Street 1:3400 BROOKWOOD RD
Practice Address - Street 2:
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35223-2023
Practice Address - Country:US
Practice Address - Phone:205-969-8080
Practice Address - Fax:205-969-4884
Is Sole Proprietor?:No
Enumeration Date:2012-02-10
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3413225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics