Provider Demographics
NPI:1487233847
Name:BARLETTA, BRITTANY ANN (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:ANN
Last Name:BARLETTA
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MISS
Other - First Name:BRITTANY
Other - Middle Name:
Other - Last Name:VERCUSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:908 CARSON ST
Mailing Address - Street 2:
Mailing Address - City:HAZLETON
Mailing Address - State:PA
Mailing Address - Zip Code:18201-2551
Mailing Address - Country:US
Mailing Address - Phone:570-956-6810
Mailing Address - Fax:
Practice Address - Street 1:1711 E BROAD ST
Practice Address - Street 2:
Practice Address - City:HAZLETON
Practice Address - State:PA
Practice Address - Zip Code:18201-5691
Practice Address - Country:US
Practice Address - Phone:570-453-5100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-05
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC017300225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist