Provider Demographics
NPI:1679875553
Name:MATHIS, BRITTANI J (OT)
Entity Type:Individual
Prefix:
First Name:BRITTANI
Middle Name:J
Last Name:MATHIS
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Gender:F
Credentials:OT
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Mailing Address - Street 1:101 N PLAINS INDUSTRIAL RD
Mailing Address - Street 2:BUILDING 2
Mailing Address - City:WALLINGFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06492-2360
Mailing Address - Country:US
Mailing Address - Phone:203-949-9337
Mailing Address - Fax:203-284-3779
Practice Address - Street 1:1300 POST RD
Practice Address - Street 2:SUITE 204
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06824-6038
Practice Address - Country:US
Practice Address - Phone:203-255-3669
Practice Address - Fax:203-254-3790
Is Sole Proprietor?:No
Enumeration Date:2010-11-26
Last Update Date:2010-11-26
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Provider Licenses
StateLicense IDTaxonomies
CT003739225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics