Provider Demographics
NPI:1356580781
Name:BROWN, BRIDGET C (OTR)
Entity type:Individual
Prefix:
First Name:BRIDGET
Middle Name:C
Last Name:BROWN
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 1:636 GARFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-1902
Mailing Address - Country:US
Mailing Address - Phone:303-665-0290
Mailing Address - Fax:
Practice Address - Street 1:636 GARFIELD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-1902
Practice Address - Country:US
Practice Address - Phone:303-665-0290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-09
Last Update Date:2009-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist