Provider Demographics
NPI:1710513601
Name:MURDOCH, BRITTANY MICHELLE (COTA/L)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:MICHELLE
Last Name:MURDOCH
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:MICHELLE
Other - Last Name:MILES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COTA/L
Mailing Address - Street 1:17 BUSINESS PARK DR
Mailing Address - Street 2:
Mailing Address - City:GREENBRIER
Mailing Address - State:AR
Mailing Address - Zip Code:72058-9263
Mailing Address - Country:US
Mailing Address - Phone:501-679-6011
Mailing Address - Fax:501-421-0004
Practice Address - Street 1:17 BUSINESS PARK DR
Practice Address - Street 2:
Practice Address - City:GREENBRIER
Practice Address - State:AR
Practice Address - Zip Code:72058-9263
Practice Address - Country:US
Practice Address - Phone:501-679-6011
Practice Address - Fax:501-421-0004
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-23
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROT-A1602224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant