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Zachary John Brennan, MSOT

Occupational Therapist in Wyncote, PA. Individual provider (NPI-1).

NPI number1013764562
StatusActive
Last updated in NPPESMay 2, 2024

Details

NPI
1013764562
Entity type
Individual (NPI-1)
Name
Mr. Zachary John Brennan
Credential
MSOT
Sex
Male
Sole proprietor
Yes
Enumeration date
May 2, 2024
Certification date
May 2, 2024
Last updated
May 2, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational TherapistOC019897PAYes

Practice location

1245 Church Rd
Wyncote, PA 19095-1800

Phone 215-884-9990

Mailing address

100 Grandview Rd Apt 2
Ardmore, PA 19003-2849

Phone 856-745-7592

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