Provider Demographics
NPI:1093341182
Name:BRINKMAN, ABIGAIL (OTR/L)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:BRINKMAN
Suffix:
Gender:
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 88747
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53288-8747
Mailing Address - Country:US
Mailing Address - Phone:480-945-6777
Mailing Address - Fax:480-257-7310
Practice Address - Street 1:4455 E CAMELBACK RD STE D155
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-2888
Practice Address - Country:US
Practice Address - Phone:480-626-2444
Practice Address - Fax:833-473-4947
Is Sole Proprietor?:No
Enumeration Date:2020-03-20
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT60947475225X00000X
COOT.0006269225X00000X
AZOTH-008561225X00000X
OHOT010509225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist