Provider Demographics
NPI:1649885286
Name:EATON, BRITTANY A (OTR/L)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:A
Last Name:EATON
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:A
Other - Last Name:RAHM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 36094
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90036-0094
Mailing Address - Country:US
Mailing Address - Phone:303-717-6172
Mailing Address - Fax:
Practice Address - Street 1:955 CARRILLO DR STE 103
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-5400
Practice Address - Country:US
Practice Address - Phone:310-854-0529
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-10
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT20843225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist