Provider Demographics
NPI:1598108227
Name:WEINERTH, BRITTNEY A (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:BRITTNEY
Middle Name:A
Last Name:WEINERTH
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:BRITTNEY
Other - Middle Name:
Other - Last Name:SEVO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6501 CROWN BLVD
Mailing Address - Street 2:SUITE 100A
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95120-2903
Mailing Address - Country:US
Mailing Address - Phone:408-601-0993
Mailing Address - Fax:
Practice Address - Street 1:6501 CROWN BLVD
Practice Address - Street 2:SUITE 100A
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95120-2903
Practice Address - Country:US
Practice Address - Phone:408-601-0993
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-11
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11778225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist