Individual provider · Type 1 NPI

Connie Phung, OTD, OTR/L

Occupational Therapist · Wickliffe, OH

NPI number 1417866641 Active

Practice location

30630 Ridge Rd
Wickliffe, OH 44092-1166

Mailing address

1750 Ansel Rd # 408
Cleveland, OH 44106-4106

Other practice locations

  • 261 Richmond Rd, Richmond Heights, OH 44143-4422 · (216) 289-9800

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT013878 (OH)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

4 other providers at this address

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About NPI 1417866641

Connie Phung, OTD, OTR/L's National Provider Identifier is 1417866641, issued on Sep 3, 2026. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Wickliffe, OH. The record was last updated on Sep 3, 2026.