Provider Demographics
NPI:1992990493
Name:BELANGER, BRIGITTE (OTR/L)
Entity type:Individual
Prefix:
First Name:BRIGITTE
Middle Name:
Last Name:BELANGER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 AUGUSTA DR
Mailing Address - Street 2:
Mailing Address - City:OAK ISLAND
Mailing Address - State:NC
Mailing Address - Zip Code:28465-8310
Mailing Address - Country:US
Mailing Address - Phone:727-772-3557
Mailing Address - Fax:
Practice Address - Street 1:300 HOSPITAL ROAD
Practice Address - Street 2:DDEAMC
Practice Address - City:FT GORDON
Practice Address - State:GA
Practice Address - Zip Code:30905
Practice Address - Country:US
Practice Address - Phone:706-787-7448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-08
Last Update Date:2013-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4488174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist