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NPI Code Detail

MEDICARE: SHEILA BRENNAN OTR, L

MEDICARE: SHEILA BRENNAN OTR, L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist5755NC

General Provider Information

NPI Number : 1548309487
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEILA BRENNAN OTR, L
Provider Business Mailing Address
First Line : 103 FREHOLD CT
Second Line :
City : CARY
State : NC
Zip : 27519-7372
Country : US
Telephone Number : 919-465-4424
Fax Number : 919-465-4427
Provider Business Practice Location Address
First Line : 103 FREHOLD CT
Second Line :
City : CARY
State : NC
Zip : 27519-7372
Country : US
Telephone Number : 919-465-4424
Fax Number : 919-465-4427
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2007
Last Update Date : 10/09/2007

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Directions to “ SHEILA BRENNAN OTR, L” Practice Location

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