Provider Demographics
NPI:1851084669
Name:SEALES, BRIAN (OTA AND OTD 2026)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:
Last Name:SEALES
Suffix:
Gender:M
Credentials:OTA AND OTD 2026
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 HIBBEN PL
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07043-2102
Mailing Address - Country:US
Mailing Address - Phone:718-501-0048
Mailing Address - Fax:
Practice Address - Street 1:30 HIBBEN PL
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07043-2102
Practice Address - Country:US
Practice Address - Phone:718-501-0048
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-29
Last Update Date:2023-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224ZE0001XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantEnvironmental Modification