Provider Demographics
NPI:1285068155
Name:BRIGDEN, KATE (OTR)
Entity type:Individual
Prefix:
First Name:KATE
Middle Name:
Last Name:BRIGDEN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38586 NASTURTIUM WAY APT 2
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92211-5033
Mailing Address - Country:US
Mailing Address - Phone:703-283-3711
Mailing Address - Fax:
Practice Address - Street 1:2173 NW EVERETT ST
Practice Address - Street 2:APT 2
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97210-3599
Practice Address - Country:US
Practice Address - Phone:703-283-3711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-28
Last Update Date:2020-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist