Provider Demographics
NPI:1184972655
Name:STREETER, BRITTANY (OTR/L)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:STREETER
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 1:5855 BROOKE DR
Mailing Address - Street 2:
Mailing Address - City:WINNEMUCCA
Mailing Address - State:NV
Mailing Address - Zip Code:89445-6151
Mailing Address - Country:US
Mailing Address - Phone:775-748-2086
Mailing Address - Fax:775-748-2087
Practice Address - Street 1:250 S MAIN ST
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:NV
Practice Address - Zip Code:89316
Practice Address - Country:US
Practice Address - Phone:775-738-2925
Practice Address - Fax:775-738-7395
Is Sole Proprietor?:No
Enumeration Date:2012-08-15
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV12-0241225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist