Individual
BREANNA NICOLE REITANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1219 DUNN AVE, DAYTONA BEACH, FL 32114-2405
(386) 214-9238
Mailing address
102 PINION CIR, ORMOND BEACH, FL 32174-4910
(386) 214-9238
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
19985
FL
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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