Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Connie Phung, OTD, OTR/L

Individual provider Occupational Therapist · NPI 1417866641

Connie Phung, OTD, OTR/L is an Occupational Therapist in Wickliffe, Ohio. Works from 2 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2026
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

30630 Ridge Rd
Wickliffe, OH 44092-1166
Phone: (440) 943-2050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT013878 (OH)

Record details

NPI number1417866641
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTD , OTR/L
Sole proprietorNo
NPI enumeratedSeptember 3, 2026
Last updated in NPPESSeptember 3, 2026
Certification dateSeptember 3, 2026

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