Organization
BRANDYWINE OCCUPATIONAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN JANUSZ (OWNER)
(302) 740-4798
Entity
Organization
Contact information
Practice address
800 CARR ROAD, WILMINGTON, DE 19809
(302) 740-4798
(302) 761-6951
Mailing address
800 CARR ROAD, WILMINGTON, DE 19809
(302) 740-4798
(302) 761-6951
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
—
DE
261Q00000X
Clinic/Center
Primary
U1-0001108
DE
Other
Enumeration date
08/24/2010
Last updated
07/15/2015
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