Provider Demographics
NPI:1750743803
Name:SMITH, BRIEANN (OTD)
Entity type:Individual
Prefix:
First Name:BRIEANN
Middle Name:
Last Name:SMITH
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9010 MASON VILLAGE LOOP APT 403
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20109-3880
Mailing Address - Country:US
Mailing Address - Phone:401-649-8989
Mailing Address - Fax:
Practice Address - Street 1:9010 MASON VILLAGE LOOP APT 403
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109-3880
Practice Address - Country:US
Practice Address - Phone:401-649-8989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-27
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist