Provider Demographics
NPI:1891454617
Name:NEWMAN, BRITNEY LEE-ANNE (COTA/L)
Entity Type:Individual
Prefix:
First Name:BRITNEY
Middle Name:LEE-ANNE
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:BRITNEY
Other - Middle Name:LEE-ANNE
Other - Last Name:BRONSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12061 CROW RD
Mailing Address - Street 2:
Mailing Address - City:SENECA
Mailing Address - State:MO
Mailing Address - Zip Code:64865-8618
Mailing Address - Country:US
Mailing Address - Phone:417-389-2713
Mailing Address - Fax:
Practice Address - Street 1:2700 E 34TH ST
Practice Address - Street 2:
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64804-4310
Practice Address - Country:US
Practice Address - Phone:417-781-1737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-08
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2019011604224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant