Zachary John Brennan, MSOT
Individual provider Active NPI Occupational Therapist · Wyncote, PA
NPI 1013764562 · NPPES record last updated May 2, 2024
Key facts
- NPI
- 1013764562
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OC019897 (PA)
- Practice address
- 1245 Church Rd
Wyncote, PA 19095-1800 - Phone
- (215) 884-9990
- NPI assigned
- May 2, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC019897 | PA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC019897 | PA | Yes |
Addresses
Primary practice location
1245 Church Rd
Wyncote, PA 19095-1800
Mailing address
100 Grandview Rd Apt 2
Ardmore, PA 19003-2849
Phone (856) 745-7592
Other providers in Wyncote, PA
- Arthur Bernstein
- Maura Bernt
- Suraj Singh Bhogal
- Alan Charles Bilsky
- Cathryn Ashley Borders
- Bricker Morris Vance Counseling
- Safiya Broadwater
- Courtney Brown
- Rebecca Bubb
- Carechoice Al LLC
All providers in Wyncote, PA · Occupational Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.