Provider Demographics
NPI:1275162497
Name:MARSHALL, BRITTNI ROSE (MS OTR/L)
Entity Type:Individual
Prefix:
First Name:BRITTNI
Middle Name:ROSE
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:BRITTNI
Other - Middle Name:ROSE
Other - Last Name:NASSAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS OTR/L
Mailing Address - Street 1:2620 CONSTITUTION BLVD STE 202
Mailing Address - Street 2:
Mailing Address - City:BEAVER FALLS
Mailing Address - State:PA
Mailing Address - Zip Code:15010-1278
Mailing Address - Country:US
Mailing Address - Phone:724-846-8266
Mailing Address - Fax:724-647-1232
Practice Address - Street 1:20397 ROUTE 19 STE 30
Practice Address - Street 2:
Practice Address - City:CRANBERRY TWP
Practice Address - State:PA
Practice Address - Zip Code:16066-6102
Practice Address - Country:US
Practice Address - Phone:855-887-7332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-08
Last Update Date:2020-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC016842225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist