Provider Demographics
NPI:1578801320
Name:MICHEL, BRITTANY ASHLEIGH (OTR/L)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:ASHLEIGH
Last Name:MICHEL
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 1:43 ARBOR LN
Mailing Address - Street 2:
Mailing Address - City:AGAWAM
Mailing Address - State:MA
Mailing Address - Zip Code:01001-3033
Mailing Address - Country:US
Mailing Address - Phone:413-627-4591
Mailing Address - Fax:
Practice Address - Street 1:880 EAST I 30
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-4120
Practice Address - Country:US
Practice Address - Phone:214-607-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-28
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX115186225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist