Mrs. Stacey A Bryham
Occupational Therapy Assistant in Pennsauken, New Jersey
1396433405- Practice location
- 7490 Walnut Ave, Pennsauken, NJ 08109-3077
- Phone
- 856-839-1447
- Fax
- —
- Last updated
- April 26, 2023
Stacey A Bryham is an Occupational Therapy Assistant based in Pennsauken, NJ. Stacey A Bryham practices in Pennsauken, NJ. The NPI Number for Stacey A Bryham is 1396433405 and holds a License No. OTA15799 (FL). The current practice location address for Stacey A Bryham is 7490 Walnut Ave, Pennsauken, NJ 08109-3077 and can be reached out via phone at 856-839-1447.
Provider Profile Details
- NPI Number
- 1396433405
- Provider Name
- Stacey A Bryham
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 7490 Walnut Ave, Pennsauken, NJ 08109-3077
- Phone Number
- 856-839-1447
- Primary Taxonomy
- Occupational Therapy Assistant · 224Z00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 26, 2023
- Last Update Date
- April 26, 2023
- Certification Date
- April 26, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 7490 Walnut Ave
Pennsauken, NJ 08109-3077 - City
- Pennsauken
- State
- New Jersey
- Zip
- 08109-3077
- Phone Number
- 856-839-1447
Provider Business Mailing Address Details
- Address
- 6101 N Falls Circle Dr Apt 109
Lauderhill, FL 33319-6841 - City
- Lauderhill
- State
- FL
- Zip
- 33319-6841
- Phone Number
- 856-839-1447
License Information
- License Number
- OTA15799
- License State
- FL
- Taxonomy
- Occupational Therapy Assistant · 224Z00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Stacey A Bryham?
The NPI number of Mrs. Stacey A Bryham is 1396433405. It was assigned on April 26, 2023 and is currently active in the NPPES registry.
What is the specialty of Mrs. Stacey A Bryham?
Mrs. Stacey A Bryham is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in FL under license number OTA15799.
Where does Mrs. Stacey A Bryham practice?
The practice location is 7490 Walnut Ave, Pennsauken, NJ 08109-3077. The office can be reached at 856-839-1447 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396433405 directly on the NPPES registry website.