Provider Demographics
NPI:1336399294
Name:BRINKMAN, AMY JO (DBH, MS, OTR/L)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:JO
Last Name:BRINKMAN
Suffix:
Gender:F
Credentials:DBH, MS, OTR/L
Other - Prefix:MS
Other - First Name:AMY
Other - Middle Name:JO
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DBH, MS, OTR/L
Mailing Address - Street 1:2011 ROSEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:OH
Mailing Address - Zip Code:44240-4274
Mailing Address - Country:US
Mailing Address - Phone:330-968-4310
Mailing Address - Fax:
Practice Address - Street 1:2011 ROSEWOOD DR
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:OH
Practice Address - Zip Code:44240-4274
Practice Address - Country:US
Practice Address - Phone:330-968-4310
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-26
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist