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Contact Information

BREENA R BRNCICH, OTD, OTR/L
3002 E DIVISION ST
DIAMOND, IL60416-9486
 Phone: 815-390-5366
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for BREENA R BRNCICH · (Female)

NPI Number 1003647074
Status Active
Credentials OTD, OTR/L
Entity Individual
Enumeration date 08/12/2024
Last updated 08/12/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IL License # 056.016146
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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