Provider Demographics
NPI:1205522125
Name:DEL MUNDO, BRITNEY (OTR)
Entity type:Individual
Prefix:
First Name:BRITNEY
Middle Name:
Last Name:DEL MUNDO
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8-21 MANOR AVE
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-1745
Mailing Address - Country:US
Mailing Address - Phone:201-637-6744
Mailing Address - Fax:
Practice Address - Street 1:254 S MAIN ST STE 400
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-3363
Practice Address - Country:US
Practice Address - Phone:845-638-1592
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-13
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027738225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist