Provider Demographics
NPI:1578842308
Name:O'BRIEN, BRITTANY ROSE
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:ROSE
Last Name:O'BRIEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 CENTER ST.
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IA
Mailing Address - Zip Code:52141
Mailing Address - Country:US
Mailing Address - Phone:563-379-2269
Mailing Address - Fax:
Practice Address - Street 1:112 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:WEST UNION
Practice Address - State:IA
Practice Address - Zip Code:52175
Practice Address - Country:US
Practice Address - Phone:563-422-3811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-10
Last Update Date:2011-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant