Provider Demographics
NPI:1760761415
Name:TRANUM, BRITNEY ROWAN (MOTR/L)
Entity Type:Individual
Prefix:MRS
First Name:BRITNEY
Middle Name:ROWAN
Last Name:TRANUM
Suffix:
Gender:F
Credentials:MOTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 YELLOW JACKET DR
Mailing Address - Street 2:
Mailing Address - City:STARKVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:39759-3736
Mailing Address - Country:US
Mailing Address - Phone:662-312-8388
Mailing Address - Fax:662-338-5439
Practice Address - Street 1:610 YELLOW JACKET DR
Practice Address - Street 2:
Practice Address - City:STARKVILLE
Practice Address - State:MS
Practice Address - Zip Code:39759-3736
Practice Address - Country:US
Practice Address - Phone:662-312-8388
Practice Address - Fax:662-338-5439
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-12
Last Update Date:2011-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSOT2485225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics