Britney Ethridge
Occupational Therapist - Gerontology
2235 Tenbrink Dr
Rolla
, Missouri 65401-2405
Britney Ethridge
Occupational Therapist - Gerontology
2235 Tenbrink Dr
Rolla
, Missouri 65401-2405
(573) 426-3610
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About
Features
Specialties
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Britney Ethridge
- 2235 Tenbrink Dr
- Rolla, MO
- Zip : 65401-2405
- Fax : (573) 426-3610
- Phone : (573) 202-2713
Second Address
- Britney Ethridge
- 2235 Tenbrink Dr
- Rolla, MO
- Zip : 65401-2405
- Fax : (573) 426-3610
- Phone : (573) 202-2713
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XG0600X | Occupational Therapist - Gerontology | 2013032213 | MO |
National Provider Identifier
| NPI | 1285166918 |
|---|---|
| Provider Name | Britney Ethridge |
| First Address | Rolla, MO 65401-2405 |
| Second Address | Rolla, MO 65401-2405 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/03/2017 |
| Last Update Date | 31/03/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.