Brenda Louise Junn, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Malta, OH
NPI 1962747121 · NPPES record last updated Nov 29, 2012
Key facts
- NPI
- 1962747121
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 03065 (OH)
- Practice address
- 911 Echo St N
Malta, OH 43758-9379 - Phone
- (740) 818-5350
- NPI assigned
- Nov 29, 2012
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03065 | OH | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 03065 | OH | Yes |
Addresses
Primary practice location
911 Echo St N
Malta, OH 43758-9379
Mailing address
911 Echo St N
Malta, OH 43758-9379
Phone (740) 818-5350
Other providers in Malta, OH
- Brian Harney
- Mike Hartley
- Carol Denise Hill
- Brandon Honaker
- Melissa Lynn Jones
- Richard Charles Karp
- Valerie Megan Lapp
- Stephen Looker
- Kelsie Mayle
- Autumn Chontel McGrew
All providers in Malta, OH · Occupational Therapy Assistant in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2012. 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.