Healthcare Provider Details

I. General information

NPI: 1962365650
Provider Name (Legal Business Name): BRELYNN MCCARTY OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4310 LONDONDERRY RD STE 2
HARRISBURG PA
17109-5302
US

IV. Provider business mailing address

103 HEPBURN ST
MILTON PA
17847-1709
US

V. Phone/Fax

Practice location:
  • Phone: 717-657-7520
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOC021215
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: