Provider Demographics
NPI:1114019841
Name:SMITH, BRITTANY WARNY (OTR)
Entity Type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:WARNY
Last Name:SMITH
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7880 SAN FELIPE ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-1626
Mailing Address - Country:US
Mailing Address - Phone:713-787-6600
Mailing Address - Fax:713-787-6601
Practice Address - Street 1:7880 SAN FELIPE ST
Practice Address - Street 2:SUITE 110
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-1626
Practice Address - Country:US
Practice Address - Phone:713-787-6600
Practice Address - Fax:713-787-6601
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111081225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8T6114OtherBC/BS PROVIDER NUMBER