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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. STACEY A BRYHAM

Active Sole Proprietor

MRS. STACEY A BRYHAM is a Occupational Therapy Assistant healthcare provider located in PENNSAUKEN, New Jersey. NPI 1396433405 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · PENNSAUKEN, NJ

Registration Details

NPI Number
1396433405
Provider Type
Individual
Gender
Female
NPI Issued
Apr 26, 2023 (3.2615762469743 yrs)
Last Updated
Apr 26, 2023
License
OTA15799 (FL)
Sole Proprietor
Yes

Practice Information

Address
7490 WALNUT AVE
PENNSAUKEN, NJ, 081093077
Browse NJ providers · Browse ZIP 08109
Phone
8568391447
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in PENNSAUKEN, NJ

Name Credential NPI
MS. MARIE M SMEDILE COTA 1073646485
KIMBERLY CARDUCCI COTA/L 1972960946
VENEZIA MARIE VEGA 1427822170
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.