Provider Demographics
NPI:1689134397
Name:OBRIEN, BRIANA MARIE (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:BRIANA
Middle Name:MARIE
Last Name:OBRIEN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9066 MCKINLEY DR
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44067-1219
Mailing Address - Country:US
Mailing Address - Phone:330-719-7605
Mailing Address - Fax:
Practice Address - Street 1:2529 DETROIT AVE STE 136
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44113-2701
Practice Address - Country:US
Practice Address - Phone:330-719-7605
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-20
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT010065225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics