Provider Demographics
NPI:1679618185
Name:BREKNE, PATRICIA D (OT)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:D
Last Name:BREKNE
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 1:390 AMWELL RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-1225
Mailing Address - Country:US
Mailing Address - Phone:732-873-7600
Mailing Address - Fax:908-359-2383
Practice Address - Street 1:390 AMWELL RD
Practice Address - Street 2:SUITE 104
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-1225
Practice Address - Country:US
Practice Address - Phone:732-873-7600
Practice Address - Fax:908-359-2383
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA396761Medicare Oscar/Certification
PA396648Medicare Oscar/Certification