Provider Demographics
NPI:1265982573
Name:TOMMASO, BRITTANY ANN (OTR/L)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:ANN
Last Name:TOMMASO
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:ANN
Other - Last Name:CARR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSOT
Mailing Address - Street 1:110 CENTRE AVE
Mailing Address - Street 2:
Mailing Address - City:EAST ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11518-1038
Mailing Address - Country:US
Mailing Address - Phone:516-984-8787
Mailing Address - Fax:
Practice Address - Street 1:110 CENTRE AVE
Practice Address - Street 2:
Practice Address - City:EAST ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11518
Practice Address - Country:US
Practice Address - Phone:516-984-8787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-11
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP03685225X00000X
NY022297-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist