Provider Demographics
NPI:1871069021
Name:O'DEAY, BREANNE (MSOT, OTRL)
Entity type:Individual
Prefix:
First Name:BREANNE
Middle Name:
Last Name:O'DEAY
Suffix:
Gender:F
Credentials:MSOT, OTRL
Other - Prefix:
Other - First Name:BREANNE
Other - Middle Name:
Other - Last Name:BELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:804 N WATER ST
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48708-5620
Mailing Address - Country:US
Mailing Address - Phone:989-573-8266
Mailing Address - Fax:989-778-1237
Practice Address - Street 1:3901 BAY RD
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48603-2438
Practice Address - Country:US
Practice Address - Phone:989-401-5282
Practice Address - Fax:989-401-5286
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-15
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician