Provider Demographics
NPI:1770949240
Name:BRESNICK, MARLENA J (OTR/L)
Entity type:Individual
Prefix:
First Name:MARLENA
Middle Name:J
Last Name:BRESNICK
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:MARLENA
Other - Middle Name:J
Other - Last Name:COOKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:70 BUTLER ST
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:NH
Mailing Address - Zip Code:03079-3925
Mailing Address - Country:US
Mailing Address - Phone:978-682-7009
Mailing Address - Fax:978-682-3294
Practice Address - Street 1:70 BUTLER ST
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-3925
Practice Address - Country:US
Practice Address - Phone:978-682-7009
Practice Address - Fax:978-682-3294
Is Sole Proprietor?:No
Enumeration Date:2016-01-13
Last Update Date:2016-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7571225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist