Healthcare Provider Details

I. General information

NPI: 1770453979
Provider Name (Legal Business Name): BRIAN PEI-EN HSU OTD, OTR/L
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/11/2025
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

168 FRANKLIN CORNER RD BUILDING 1, 1ST FLOOR
LAWRENCEVILLE NJ
08648-2529
US

IV. Provider business mailing address

168 FRANKLIN CORNER RD
LAWRENCEVILLE NJ
08648-2529
US

V. Phone/Fax

Practice location:
  • Phone: 609-299-1279
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number46TR01261600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: