Provider Demographics
NPI:1972270817
Name:THOMASSY, BRIANNA PAIGE (OTR/L)
Entity Type:Individual
Prefix:
First Name:BRIANNA
Middle Name:PAIGE
Last Name:THOMASSY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:BRIANNA
Other - Middle Name:PAIGE
Other - Last Name:MYERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:303 MATTHEW DR
Mailing Address - Street 2:
Mailing Address - City:NEW OXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:17350-8884
Mailing Address - Country:US
Mailing Address - Phone:717-465-0146
Mailing Address - Fax:
Practice Address - Street 1:111 CHAMBERS HILL DR STE 101
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-7304
Practice Address - Country:US
Practice Address - Phone:717-709-7997
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-27
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC017859225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics