Provider Demographics
NPI:1982346284
Name:BRETTSCHNEIDER, OLIVIA RAE (OTR/L)
Entity Type:Individual
Prefix:
First Name:OLIVIA
Middle Name:RAE
Last Name:BRETTSCHNEIDER
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 1:53 WINDINGWOOD RD N
Mailing Address - Street 2:
Mailing Address - City:RYE BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:10573-1131
Mailing Address - Country:US
Mailing Address - Phone:914-960-2826
Mailing Address - Fax:
Practice Address - Street 1:53 WINDINGWOOD RD N
Practice Address - Street 2:
Practice Address - City:RYE BROOK
Practice Address - State:NY
Practice Address - Zip Code:10573-1131
Practice Address - Country:US
Practice Address - Phone:914-960-2826
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-08
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026672225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist