Provider Demographics
NPI:1275806218
Name:SILVERWIND, BRITTANY ARIELLE (COTA/L)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:ARIELLE
Last Name:SILVERWIND
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 1:470 DOVE HAVEN LN SE
Mailing Address - Street 2:
Mailing Address - City:WINNABOW
Mailing Address - State:NC
Mailing Address - Zip Code:28479-5571
Mailing Address - Country:US
Mailing Address - Phone:910-520-2628
Mailing Address - Fax:
Practice Address - Street 1:1555 WILLIS AVE
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28358-4283
Practice Address - Country:US
Practice Address - Phone:910-739-6048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-22
Last Update Date:2012-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8099224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant