# BREANNA BERGREN

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Breanna hardy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700251238
- **Authorized official:** BREANNA BERGREN OTR/L (REGISTERED OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (207) 249-9991

## Contact information

- **Practice address:** 6936 S BLUEEYES DR, TUCSON, AZ 85756-5127
- **Practice address phone:** (207) 249-9991
- **Mailing address:** 6936 S BLUEEYES DR, TUCSON, AZ 85756-5127

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 5930 | AZ | Yes |

## Other

- **Enumeration date:** 12/09/2015
- **Last updated:** 12/09/2015