Individual
DR. MARYANN B. BRENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1115 SUNRIDGE DR, SUNSET BEACH, NC 28468-2400
(610) 639-1814
Mailing address
1115 SUNRIDGE DR, SUNSET BEACH, NC 28468-2400
(610) 639-1814
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC003300L
PA
225XP0200X
Pediatric Occupational Therapist
15346
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019333280002
—
PA
01
—
15346
OT LICENSE
NC
Enumeration date
08/21/2007
Last updated
07/01/2024
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