Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Stacey A Bryham

Individual provider Occupational Therapy Assistant · NPI 1396433405

Mrs. Stacey A Bryham is an Occupational Therapy Assistant in Pennsauken, New Jersey. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2023
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Practice location Address checks out

7490 Walnut Ave
Pennsauken, NJ 08109-3077
Phone: (856) 839-1447
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA15799 (FL)

Record details

NPI number1396433405
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 26, 2023
Last updated in NPPESApril 26, 2023
Certification dateApril 26, 2023

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