Individual
MRS. KIMBERLY RENEE BREITENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1615 PARKER AVE, OSAWATOMIE, KS 66064-1703
(913) 755-4161
Mailing address
1615 PARKER AVE, OSAWATOMIE, KS 66064-1703
(913) 755-4161
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1800701
KS
Other
Enumeration date
09/02/2010
Last updated
09/02/2010
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