Provider Demographics
NPI:1730843236
Name:LANDRUM, BRIANNA (OTR/L)
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:
Last Name:LANDRUM
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 1:5069 PICASSO DR
Mailing Address - Street 2:
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-4674
Mailing Address - Country:US
Mailing Address - Phone:909-539-3328
Mailing Address - Fax:
Practice Address - Street 1:5069 PICASSO DR
Practice Address - Street 2:
Practice Address - City:CHINO HILLS
Practice Address - State:CA
Practice Address - Zip Code:91709-4674
Practice Address - Country:US
Practice Address - Phone:909-539-3328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-30
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist