Provider Demographics
NPI:1093341182
Name:BRINKMAN, ABIGAIL (OTR/L)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:BRINKMAN
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 1:6900 E CAMELBACK RD STE 850
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-2443
Mailing Address - Country:US
Mailing Address - Phone:480-945-6777
Mailing Address - Fax:480-481-5070
Practice Address - Street 1:6900 E CAMELBACK RD STE 850
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-2443
Practice Address - Country:US
Practice Address - Phone:480-945-6777
Practice Address - Fax:480-481-5070
Is Sole Proprietor?:No
Enumeration Date:2020-03-20
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZOTH-008561225X00000X
WAOT60947475225X00000X
COOT.0006269225X00000X
OHOT010509225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist