Provider Demographics
NPI:1154838662
Name:STEWART, BRITNEY MORGAN (COTA/L)
Entity Type:Individual
Prefix:MRS
First Name:BRITNEY
Middle Name:MORGAN
Last Name:STEWART
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1023 BONNIE LN
Mailing Address - Street 2:
Mailing Address - City:CROSS PLAINS
Mailing Address - State:TN
Mailing Address - Zip Code:37049-1425
Mailing Address - Country:US
Mailing Address - Phone:731-431-0772
Mailing Address - Fax:
Practice Address - Street 1:704 5TH AVE E
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:TN
Practice Address - Zip Code:37172-2604
Practice Address - Country:US
Practice Address - Phone:615-384-7977
Practice Address - Fax:615-384-8333
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-05
Last Update Date:2018-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2699224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant