Provider Demographics
NPI:1649767872
Name:MARCHAN, BRITNEY (OTR/L)
Entity type:Individual
Prefix:
First Name:BRITNEY
Middle Name:
Last Name:MARCHAN
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 1:10932 ROYAL GLEN DR
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60467-4579
Mailing Address - Country:US
Mailing Address - Phone:708-692-2989
Mailing Address - Fax:
Practice Address - Street 1:10932 ROYAL GLEN DR
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60467-4579
Practice Address - Country:US
Practice Address - Phone:708-692-2989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-13
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056.012385225X00000X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL056.012385OtherIL OT LICENSE
IL056.012385OtherIL OT LICENSE