Provider Demographics
NPI:1073279964
Name:O'TOOLE, BRITTNY
Entity Type:Individual
Prefix:
First Name:BRITTNY
Middle Name:
Last Name:O'TOOLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:940 FLOYD AVE SW APT A
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24015-1814
Mailing Address - Country:US
Mailing Address - Phone:321-243-0764
Mailing Address - Fax:
Practice Address - Street 1:940 FLOYD AVE SW APT A
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24015-1814
Practice Address - Country:US
Practice Address - Phone:321-243-0764
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-15
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date: