Provider Demographics
NPI:1649767872
Name:MARCHAN, BRITNEY (OTR/L)
Entity type:Individual
Prefix:
First Name:BRITNEY
Middle Name:
Last Name:MARCHAN
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 1:8751 W 162ND ST
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-5623
Mailing Address - Country:US
Mailing Address - Phone:708-692-2989
Mailing Address - Fax:
Practice Address - Street 1:8751 W 162ND ST
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-5623
Practice Address - Country:US
Practice Address - Phone:708-692-2989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-13
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31006551A225XP0200X
IL056.012385225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN31006551AOtherIN OT LICENSE
IL056.012385OtherIL OT LICENSE