Healthcare Provider Details

I. General information

NPI: 1609789502
Provider Name (Legal Business Name): CEASIA B BROWN OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

666 PLAINSBORO RD
PLAINSBORO NJ
08536-3030
US

IV. Provider business mailing address

1255 CALDWELL RD
CHERRY HILL NJ
08034-3220
US

V. Phone/Fax

Practice location:
  • Phone: 856-354-2964
  • Fax:
Mailing address:
  • Phone: 856-354-2964
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number46TR01311600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: