Provider Demographics
NPI:1376834952
Name:OBRIEN, PATRICIA LEARY (OT)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:LEARY
Last Name:OBRIEN
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 LINDSLEY DR
Mailing Address - Street 2:SUITE 207
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-4455
Mailing Address - Country:US
Mailing Address - Phone:973-971-0770
Mailing Address - Fax:
Practice Address - Street 1:25 LINDSLEY DR
Practice Address - Street 2:SUITE 207
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-4455
Practice Address - Country:US
Practice Address - Phone:973-971-0770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-29
Last Update Date:2011-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR0019200225XP0200X
NJ46TR000086100225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics