Provider Demographics
NPI:1992176986
Name:MARTELLARO, BRITTANY ALEXANDRA (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:ALEXANDRA
Last Name:MARTELLARO
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MS
Other - First Name:BRITTANY
Other - Middle Name:ALEXANDRA
Other - Last Name:BERCOVITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:123 E SANTA INEZ AVE
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401-2502
Mailing Address - Country:US
Mailing Address - Phone:508-631-2382
Mailing Address - Fax:
Practice Address - Street 1:725 WELCH RD
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1601
Practice Address - Country:US
Practice Address - Phone:650-736-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-15
Last Update Date:2019-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA12212225X00000X
CA14788225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist