Brickenden, Gloria D
Brickenden, Gloria D is an sole proprietor health care provider with primary practice located at 2736 Hollywood Blvd , Hollywood FL 33020-4808. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Brickenden, Gloria D can be contacted via phone (954) 603-1881.Contact Information
Primary practice address
2736 Hollywood Blvd
Hollywood FL 33020-4808
Phone: (954) 603-1881
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | OT8580 | Florida |
Profile Details
| NPI number | 1407902281 |
|---|---|
| LBN Legal business name | Brickenden, Gloria D |
| Credentials | M.A., OTR/L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 26th, 2007 |
| Last updated | Oct 28th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407902281 | NPPES |
| Florida | MEDICAID | 884789400 |
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