Healthcare Provider Details

I. General information

NPI: 1548309487
Provider Name (Legal Business Name): SHEILA BRENNAN OTR, L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1212 LONGFORD DAM CT
CLOVER SC
29710-7743
US

IV. Provider business mailing address

1212 LONGFORD DAM CT
CLOVER SC
29710-7743
US

V. Phone/Fax

Practice location:
  • Phone: 919-270-8001
  • Fax: 919-270-8001
Mailing address:
  • Phone: 919-270-8001
  • Fax: 919-270-8001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number5755
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: