Healthcare Provider Details

I. General information

NPI: 1720838824
Provider Name (Legal Business Name): BRIELLE ZBYDNIEWSKI OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2024
Last Update Date: 08/06/2024
Certification Date: 08/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6000 RIVERSIDE DR
DUBLIN OH
43017-5073
US

IV. Provider business mailing address

8891 MORELAND ST APT 251
POWELL OH
43065-6227
US

V. Phone/Fax

Practice location:
  • Phone: 614-764-1600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT012983
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: