Breena Rae Brncich, OTD, OTR/L

Pediatric Occupational Therapist · Diamond, IL

Individual Active NPI

NPI number 1003647074

Practice location

3002 E Division St
Diamond, IL 60416-9486
Phone
(815) 390-5366

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NPI record

NPI
1003647074
Entity type
Individual (Type 1)
Enumeration date
August 12, 2024
Last updated
August 12, 2024
Certified
August 10, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Occupational Therapist Primary 225XP0200X 056.016146 IL

Mailing address

27425 S Will Rd
Wilmington, IL 60481-8352
Phone
(815) 693-9612

About Breena Brncich

Breena Rae Brncich, OTD, OTR/L is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Occupational Therapist (code 225XP0200X). The practice location is 3002 E Division St, Diamond, IL 60416-9486. The NPI number 1003647074 was assigned on August 12, 2024 and the record was last updated on August 12, 2024.

Breena Brncich lists a license in the registry: #056.016146 (IL) for Pediatric Occupational Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Breena Rae Brncich, OTD, OTR/L?

The NPI number is 1003647074.

What is the phone number of Breena Brncich?

The phone number listed for the practice location is (815) 390-5366.

Where is Breena Brncich located?

3002 E Division St, Diamond, IL 60416-9486.

What is the taxonomy code for Breena Brncich?

The primary taxonomy code is 225XP0200X – Pediatric Occupational Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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