Provider Demographics
NPI:1629792577
Name:BRIZ, ANNA MARIS LABRADO (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:ANNA MARIS
Middle Name:LABRADO
Last Name:BRIZ
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 1:17011 S CREIGHTON DR
Mailing Address - Street 2:
Mailing Address - City:LOCKPORT
Mailing Address - State:IL
Mailing Address - Zip Code:60441-1326
Mailing Address - Country:US
Mailing Address - Phone:708-620-9593
Mailing Address - Fax:
Practice Address - Street 1:17011 S CREIGHTON DR
Practice Address - Street 2:
Practice Address - City:LOCKPORT
Practice Address - State:IL
Practice Address - Zip Code:60441-1326
Practice Address - Country:US
Practice Address - Phone:708-620-9593
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-03
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist