Provider Demographics
NPI:1578369864
Name:MEDLIN, BRITTANY LAMBERT (COTA/L)
Entity type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:LAMBERT
Last Name:MEDLIN
Suffix:
Gender:
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5826 WALLACE BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:MARSHVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28103-8765
Mailing Address - Country:US
Mailing Address - Phone:704-219-2137
Mailing Address - Fax:
Practice Address - Street 1:311 W PHIFER ST
Practice Address - Street 2:
Practice Address - City:MARSHVILLE
Practice Address - State:NC
Practice Address - Zip Code:28103-1322
Practice Address - Country:US
Practice Address - Phone:704-219-2137
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7250224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant