Provider Demographics
NPI:1760799142
Name:FIELD, BRITTANIE ANN (MOTR/L)
Entity Type:Individual
Prefix:MS
First Name:BRITTANIE
Middle Name:ANN
Last Name:FIELD
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 1:7448 68TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:CANDO
Mailing Address - State:ND
Mailing Address - Zip Code:58324-9485
Mailing Address - Country:US
Mailing Address - Phone:701-968-2568
Mailing Address - Fax:701-968-2552
Practice Address - Street 1:7448 68TH AVE NE
Practice Address - Street 2:
Practice Address - City:CANDO
Practice Address - State:ND
Practice Address - Zip Code:58324-9485
Practice Address - Country:US
Practice Address - Phone:701-968-2568
Practice Address - Fax:701-968-2552
Is Sole Proprietor?:No
Enumeration Date:2010-09-08
Last Update Date:2010-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1130225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist