Provider Demographics
NPI:1649443052
Name:PAGANO, BRITTANY KAE (OTD-OTR-L)
Entity type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:KAE
Last Name:PAGANO
Suffix:
Gender:F
Credentials:OTD-OTR-L
Other - Prefix:MS
Other - First Name:BRITTANY
Other - Middle Name:KAE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTD-OTR-L
Mailing Address - Street 1:2108 TAYLOR AVE
Mailing Address - Street 2:SUITE 1100
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701-4641
Mailing Address - Country:US
Mailing Address - Phone:402-371-7545
Mailing Address - Fax:402-379-0583
Practice Address - Street 1:2108 TAYLOR AVE
Practice Address - Street 2:SUITE 1100
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-4641
Practice Address - Country:US
Practice Address - Phone:402-371-7545
Practice Address - Fax:402-379-0583
Is Sole Proprietor?:No
Enumeration Date:2008-04-07
Last Update Date:2009-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1343225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist