Individual
BRESHAE DESHAWN ADKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-4114
Mailing address
9301 THE NEW RD, CHARLES CITY, VA 23030-4424
(804) 829-9870
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119003310
VA
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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