Provider Demographics
NPI:1407014608
Name:HARRIS, BRITTANY NICOLE (COTA)
Entity Type:Individual
Prefix:MISS
First Name:BRITTANY
Middle Name:NICOLE
Last Name:HARRIS
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:MISS
Other - First Name:BRITTANY
Other - Middle Name:NICOLE
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:COTA
Mailing Address - Street 1:1504 WOODMONT BLVD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-1632
Mailing Address - Country:US
Mailing Address - Phone:615-289-4150
Mailing Address - Fax:615-469-4671
Practice Address - Street 1:785 OLD HICKORY BLVD
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-4512
Practice Address - Country:US
Practice Address - Phone:615-376-9633
Practice Address - Fax:615-376-9481
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-26
Last Update Date:2008-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNOTA0000001711224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant