Provider Demographics
NPI:1225660137
Name:DEGRAW, BRITTANY (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:BRITTANY
Middle Name:
Last Name:DEGRAW
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 1:4451 GOLFERS CIR W
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-4611
Mailing Address - Country:US
Mailing Address - Phone:845-707-2264
Mailing Address - Fax:
Practice Address - Street 1:8127 MARIPOSA GROVE CIR
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-4632
Practice Address - Country:US
Practice Address - Phone:561-651-9615
Practice Address - Fax:561-355-0343
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-08
Last Update Date:2020-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT20635225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist