Brianna Fecondo, MS, OTR/L, CSRS

Individual provider Active NPI Occupational Therapist · Philadelphia, PA

NPI 1558072033 · NPPES record last updated Dec 6, 2022

Key facts

NPI
1558072033
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
Practice address
3400 Spruce St
Philadelphia, PA 19104-4238
Phone
(215) 662-4000
NPI assigned
Dec 6, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X PA Yes

Addresses

Primary practice location

3400 Spruce St
Philadelphia, PA 19104-4238

Mailing address

103 Ebenezer Ave
Bala Cynwyd, PA 19004-1804

Other providers in Philadelphia, PA

All providers in Philadelphia, PA · Occupational Therapist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.