Provider Demographics
NPI:1932881851
Name:JONES, BRITTANY L (COTA)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:L
Last Name:JONES
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4901 SARATOGA BLVD APT 515
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78413-2268
Mailing Address - Country:US
Mailing Address - Phone:210-776-2092
Mailing Address - Fax:
Practice Address - Street 1:4901 SARATOGA BLVD APT 515
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78413-2268
Practice Address - Country:US
Practice Address - Phone:210-776-2092
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-01
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX217560224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant