OrganizationActive
Brain Executive, LLC
NPI 1336930965 · Pediatric Occupational Therapist · Alexandria, VA
Provider details
- NPI number
- 1336930965
- Entity type
- Organization
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Kathryn Hamlin-Pacheco, Owner(757) 633-8940
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
7847 Midday Ln
Alexandria, VA 22306-2723
Phone: (757) 633-8940
Approximate (ZIP-level) locationGet directions
Mailing address
16366 N Shore Dr
Pensacola, FL 32507-8372
Registry dates
- Enumerated
- 2025-05-14
- Last updated
- 2025-05-14
- Certified
- 2025-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.