Provider Demographics
NPI:1619630795
Name:BROWN, ADRIANNA M (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:ADRIANNA
Middle Name:M
Last Name:BROWN
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 1:1404 SWEET HOME RD STE 11
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228-2778
Mailing Address - Country:US
Mailing Address - Phone:716-235-3013
Mailing Address - Fax:716-235-5795
Practice Address - Street 1:1404 SWEET HOME RD STE 11
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14228-2778
Practice Address - Country:US
Practice Address - Phone:716-235-3013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-15
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025125225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist