Provider Demographics
NPI:1740970557
Name:ACKMAN, BRITTANY N (COTA/L)
Entity type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:N
Last Name:ACKMAN
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 ARABIAN SPUR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62702-1504
Mailing Address - Country:US
Mailing Address - Phone:309-357-9123
Mailing Address - Fax:
Practice Address - Street 1:1507 7TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:IL
Practice Address - Zip Code:62656-2216
Practice Address - Country:US
Practice Address - Phone:217-732-5022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant