Provider Demographics
NPI:1144847682
Name:BRINKMAN, AMANDA (DPT, PT)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:BRINKMAN
Suffix:
Gender:F
Credentials:DPT, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9560 CHILDREN DR
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-9362
Mailing Address - Country:US
Mailing Address - Phone:513-636-6800
Mailing Address - Fax:
Practice Address - Street 1:9560 CHILDREN DR
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-9362
Practice Address - Country:US
Practice Address - Phone:513-636-6800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-01
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT0186322251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics