Provider Demographics
NPI:1578922605
Name:SARENPA, BRITTANY ELLIS (OT/L)
Entity Type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:ELLIS
Last Name:SARENPA
Suffix:
Gender:F
Credentials:OT/L
Other - Prefix:MRS
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:SARENPA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OT/L
Mailing Address - Street 1:292 DEER TRACK LN
Mailing Address - Street 2:
Mailing Address - City:RUTHERFORDTON
Mailing Address - State:NC
Mailing Address - Zip Code:28139-7849
Mailing Address - Country:US
Mailing Address - Phone:828-289-7581
Mailing Address - Fax:
Practice Address - Street 1:3905 UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-2517
Practice Address - Country:US
Practice Address - Phone:919-928-0204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-17
Last Update Date:2019-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10006225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist