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

MR. BURNELL MARCUS SIMMONS JR.

Active Sole Proprietor

MR. BURNELL MARCUS SIMMONS JR. is a Mental Health Occupational Therapist healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1912666926 is currently active in the NPPES registry. Verify at CMS.

Mental Health Occupational Therapist · PHILADELPHIA, PA

Registration Details

NPI Number
1912666926
Provider Type
Individual
Gender
Male
NPI Issued
Dec 17, 2021 (4.4742953217835 yrs)
Last Updated
Dec 17, 2021
Sole Proprietor
Yes

Practice Information

Address
1315 WINDRIM AVE
PHILADELPHIA, PA, 191412710
Browse PA providers · Browse ZIP 19141
Phone
2154353900
Primary Specialty
Mental Health Occupational Therapist
225XM0800X

Other Mental Health Occupational Therapist Providers in PHILADELPHIA, PA

Name Credential NPI
MRS. JACLYN ELIZABETH MACCHIONE MOT, OTR/L 1053880559
LAWREESHIA NEAL 1225594476
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.