Provider Demographics
NPI:1427811421
Name:GONZALEZ, BRITTANIE MICHELLE (OTD, OTR/L)
Entity type:Individual
Prefix:MS
First Name:BRITTANIE
Middle Name:MICHELLE
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8101 SW 15TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-5233
Mailing Address - Country:US
Mailing Address - Phone:786-344-4331
Mailing Address - Fax:
Practice Address - Street 1:8101 SW 15TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-5233
Practice Address - Country:US
Practice Address - Phone:786-344-4331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-01
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics