Basic Information
Provider Information
NPI: 1588941470
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: VERMEIRE
FirstName: BRITTANY
MiddleName: KRISTINE
NamePrefix: MRS.
NameSuffix:  
Credential: MS, OTR/L
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 104 DANIEL DR
Address2:  
City: AVONDALE
State: PA
PostalCode: 193111453
CountryCode: US
TelephoneNumber: 4844671798
FaxNumber:  
Practice Location
Address1: 461 CANN RD
Address2:  
City: WEST CHESTER
State: PA
PostalCode: 193821715
CountryCode: US
TelephoneNumber: 6106926362
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/07/2011
LastUpdateDate: 11/07/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225XP0200XOC011001PAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics

No ID Information.


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