Provider Demographics
NPI:1669025508
Name:WILLIAMS, BRITTANY RENE (OTR/L)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:RENE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:RENE
Other - Last Name:SEHGAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3510 TERRACE SPRINGS DR APT 201
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40245-5861
Mailing Address - Country:US
Mailing Address - Phone:859-457-9465
Mailing Address - Fax:
Practice Address - Street 1:1505 N ALMA SCHOOL RD
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-2900
Practice Address - Country:US
Practice Address - Phone:480-626-4142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-19
Last Update Date:2019-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZOTH007837225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics