Provider Demographics
NPI:1205061686
Name:BRICK, DAVID (OTR/L)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:BRICK
Suffix:
Gender:M
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 1:8457 HWY 51 N
Mailing Address - Street 2:SUITE 103
Mailing Address - City:MILLINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38053-7028
Mailing Address - Country:US
Mailing Address - Phone:901-873-3773
Mailing Address - Fax:901-873-3780
Practice Address - Street 1:8457 HWY 51 N
Practice Address - Street 2:SUITE 103
Practice Address - City:MILLINGTON
Practice Address - State:TN
Practice Address - Zip Code:38053
Practice Address - Country:US
Practice Address - Phone:901-873-3773
Practice Address - Fax:901-873-3780
Is Sole Proprietor?:No
Enumeration Date:2009-05-28
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNOT0000000068225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist